Physical Therapists Clinic, LTD

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

203000094 Issued in IL

Legal business name

PHYSICAL THERAPISTS CLINIC, LTD

Practice address

1440 W Walnut St
Suite2
Jacksonville, IL 62650-1143

Phone

(217) 245-1325

Fax

(217) 243-6903

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Cheryl Diane Barber

Title

Insurance Manager

Phone

(217) 245-1325

Specialties & licenses 2

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Curt E Keim, PT

  • Physical Therapist
  • Jacksonville, IL
  • NPI 1144209065
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1083769475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 W WALNUT ST",
            "address_2": "SUITE2",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626501143",
            "telephone_number": "217-245-1325",
            "fax_number": "217-243-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 W WALNUT ST",
            "address_2": "SUITE2",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626501143",
            "telephone_number": "217-245-1325",
            "fax_number": "217-243-6903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPISTS CLINIC, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "INSURANCE MANAGER",
        "authorized_official_telephone_number": "217-245-1325",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203000094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1558480418",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "005415281",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aubrie Laine Patkus, PHARMD
• Peter a Trace, M.D.
• Wayne E Petereit, LPT
• John Andrew Peterson, M.D.
• James Thomas Phillips, D.C.
• Physical Therapists Clinic,LTD
• Jane E. Piper, NP
• Lawrence B Plummer, DO
• Macy Pohlman
• Pointe at Jacksonville, LLC

• Durable Medical Equipment & Medical Supplies in Jacksonville, IL
• Providers in Jacksonville, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.