Organization · Type 2 NPI

Lasting Roots Pediatric Physical Therapy, PLLC

Physical Therapy Clinic/Center · Village Of Lakewood, IL

NPI number 1164328464 Active

Practice location

8980 Bardwell Ln
Village Of Lakewood, IL 60014-6865

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Clinic/Center Primary 261QP2000XNone listed

Physical Therapy Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care p…

Another provider at this address

About NPI 1164328464

Lasting Roots Pediatric Physical Therapy, PLLC's National Provider Identifier is 1164328464, issued on Oct 15, 2026. The primary taxonomy on file is Physical Therapy Clinic/Center (261QP2000X), and the practice location is in Village Of Lakewood, IL. The record was last updated on Oct 15, 2026.