Across All Ages Physical Therapy LLC
Organization Active NPI Physical Therapist · Breese, IL
NPI 1003521998 · NPPES record last updated May 26, 2023
Key facts
- NPI
- 1003521998
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 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
- Organization subpart
- No
Authorized official
- Name
- Margaret Timmermann, PT
- Title
- Owner
- Phone
- (618) 526-9311
Practitioners 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230225000425 | IL | Part B Supplier - Clinic/Group Practice | 8628441425 |
Receives reassigned benefits from 1 practitioner Practice locations: Breese, IL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes | ||
| Occupational Therapist |
225X00000X |
Addresses
Primary practice location
380 S Germantown Rd
Breese, IL 62230-2088
Mailing address
380 S Germantown Rd
Breese, IL 62230-2088
Phone (618) 526-9322
Other providers in Breese, IL
- A-Z Advanced Nursing Services LLC
- Tolulope Adetoba
- Advanced Interventional Spine and Pain Institute. LLC
- Advantage Physical Medicine PLLC
- Stephanie Lynn Altizer
- Anxiety and Stress Relief Center PLLC
All providers in Breese, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.