Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Robert John Uzumecki Jr., PTA

Individual provider Physical Therapy Assistant · NPI 1871204875

Robert John Uzumecki Jr., PTA is a Physical Therapy Assistant in Ottawa, Illinois. Licensed in Illinois. Registered with an NPI since 2022.

Licensed in
IL
In the registry since
2022
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1100 E Norris Dr
Ottawa, IL 61350-1604
Phone: (815) 431-5692
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160006319 (IL)

Record details

NPI number1871204875
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedDecember 9, 2022
Last updated in NPPESMay 11, 2026
Certification dateDecember 9, 2022
Mailing address1706 Sunset Dr, Peru, IL 61354-1221

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