PCW PT of Illinois, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PCW PT OF ILLINOIS, LLC

Doing business as

ApexNetwork Physical Therapy

Practice address

15 Apex Dr
Highland, IL 62249-1282

Phone

(618) 651-0444

NPI assigned

Feb 20, 2014

Last updated

Feb 20, 2014By 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

Rebecca Anderson

Title

Owner

Phone

(217) 864-2324

Specialties & licenses 1

Addresses

Other names 1

• ApexNetwork Physical Therapy Doing business as

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

{
    "created_epoch": "1392854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392854400000",
    "number": "1083039549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 N STATE HIGHWAY 121",
            "city": "MT ZION",
            "state": "IL",
            "postal_code": "625491219",
            "telephone_number": "217-864-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 APEX DR",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622491282",
            "telephone_number": "618-651-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PCW PT OF ILLINOIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-20",
        "last_updated": "2014-02-20",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-864-2324"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ApexNetwork Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Osbec Medical of Southern Illinois, LLC
• Mary A. Otis, RPH
• Pamella S Gronemeyer (SEMC Pathology)
• Angela Theresa Parham, RBT
• Elizabeth Patrick
• Meghan Perry
• Stephanie Ann Pfeffer, MS CCC-SLP
• Bradley R Pfitzner, OT
• Pinwheel Early Intervention
• Alison Place, DT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2014; 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.