Provider Demographics
NPI:1215347406
Name:ERA PHYSICAL THERAPY INC
Entity type:Organization
Organization Name:ERA PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EFRAT
Authorized Official - Middle Name:
Authorized Official - Last Name:REBISH
Authorized Official - Suffix:
Authorized Official - Credentials:DPT, OCS
Authorized Official - Phone:847-630-2541
Mailing Address - Street 1:399 INDIAN HILL DR
Mailing Address - Street 2:
Mailing Address - City:BUFFALO GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60089-1922
Mailing Address - Country:US
Mailing Address - Phone:847-630-2541
Mailing Address - Fax:847-498-4158
Practice Address - Street 1:707 LAKE COOK RD
Practice Address - Street 2:SUITE 130
Practice Address - City:DEERFIELD
Practice Address - State:IL
Practice Address - Zip Code:60015-5613
Practice Address - Country:US
Practice Address - Phone:847-630-2541
Practice Address - Fax:847-498-4158
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-28
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty