NPIMap

Organization Active NPI

Professional Therapy Services, Inc.

  • Physical Therapist
  • New Baden, IL
National Provider Identifier
1053639781
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PROFESSIONAL THERAPY SERVICES, INC.
Practice address
211 E Hanover St
New Baden, IL 62265-1811
Phone
(618) 588-4000
Fax
(618) 588-4800
NPI assigned
May 5, 2010
Last updated
May 5, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
PROFESSIONAL THERAPY SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 5, 2010

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

Authorized official

Name
Michael R RileyNPI 1336479807
Title
President
Phone
(618) 234-9705

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

211 E Hanover St
New Baden, IL 62265-1811

Mailing address

211 E Hanover St
New Baden, IL 62265-1811
Phone (618) 588-4000

National Provider Directory

National Provider Directory
Tax ID family
Professional Therapy SE2 organizations share this tax ID, including this one
Part of
Professional Therapy SE

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1273017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273017600000",
    "number": "1053639781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 E HANOVER ST",
            "city": "NEW BADEN",
            "state": "IL",
            "postal_code": "622651811",
            "telephone_number": "618-588-4000",
            "fax_number": "618-588-4800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E HANOVER ST",
            "city": "NEW BADEN",
            "state": "IL",
            "postal_code": "622651811",
            "telephone_number": "618-588-4000",
            "fax_number": "618-588-4800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL THERAPY SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PROFESSIONAL THERAPY SERVICES, INC.",
        "enumeration_date": "2010-05-05",
        "last_updated": "2010-05-05",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-234-9705"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Baden, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.