Individual provider · Type 1 NPI

Lee McComb

Physical Therapy Assistant · Glen Ellyn, IL

NPI number 1104796838 Active

Practice location

95 Carleton Ave
Glen Ellyn, IL 60137-5500

Mailing address

0N759 Knollwood Dr
Wheaton, IL 60187-3060

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X160.006884 (IL)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1104796838

Lee McComb's National Provider Identifier is 1104796838, issued on Nov 7, 2025. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Glen Ellyn, IL. The record was last updated on Nov 7, 2025.