IndividualActive
Ryan Avellanosa
NPI 1679923551 · Physical Therapist · Hampshire, IL
Provider details
- NPI number
- 1679923551
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 070020390 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Other Service Providers
Practice location
184 S State St
Hampshire, IL 60140-7000
Phone: (847) 683-0077
Fax: (847) 683-1022
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 200
Hampshire, IL 60140-0200
Registry dates
- Enumerated
- 2016-06-21
- Last updated
- 2023-03-07
- Certified
- 2023-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.