Across All Ages Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ACROSS ALL AGES PHYSICAL THERAPY LLC

Practice address

380 S Germantown Rd
Breese, IL 62230-2088

Phone

(618) 526-9311

Fax

(877) 420-7862

NPI assigned

Jan 16, 2023

Last updated

May 26, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Margaret Timmermann, PTNPI 1821352402

Title

Owner

Phone

(618) 526-9311

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Margaret Timmermann, PT

  • Physical Therapist
  • Breese, IL
  • NPI 1821352402
  Medicare reassignment NPD Authorized official
• Karlee Margaret Rehkemper

  • Physical Therapist
  • Breese, IL
  • NPI 1063007243
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685059200000",
    "number": "1003521998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 S GERMANTOWN RD",
            "city": "BREESE",
            "state": "IL",
            "postal_code": "622302088",
            "telephone_number": "618-526-9322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 S GERMANTOWN RD",
            "city": "BREESE",
            "state": "IL",
            "postal_code": "622302088",
            "telephone_number": "618-526-9311",
            "fax_number": "877-420-7862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACROSS ALL AGES PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A",
        "authorized_official_last_name": "TIMMERMANN",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-526-9311",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Breese, IL
• Providers in Breese, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.