Active NPI
Tna Enterprises, Inc
- Physical Therapist
- Highland, IL
National Provider Identifier
1093064909
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- TNA ENTERPRISES, INC
- Practice address
- 15 Apex Dr
Highland, IL 62249-1282 - Phone
- (618) 651-0444
- Fax
- (618) 654-5439
- NPI assigned
- Sep 6, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Adam Kustermann
- Title
- President
- Phone
- (618) 651-0444
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Physical Therapy Assistant | 225200000X |
Addresses
Primary practice location
15 Apex Dr
Highland, IL 62249-1282
Mailing address
5701 Godfrey Rd
Godfrey, IL 62035-2471
Phone (618) 651-0444
Other names 1
- ApexNetwork Physical Threrapy
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346889600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346889600000",
"number": "1093064909",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5701 GODFREY RD",
"city": "GODFREY",
"state": "IL",
"postal_code": "620352471",
"telephone_number": "618-651-0444",
"fax_number": "618-654-5439"
},
{
"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",
"fax_number": "618-654-5439"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TNA ENTERPRISES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-06",
"last_updated": "2012-09-06",
"status": "A",
"authorized_official_last_name": "KUSTERMANN",
"authorized_official_first_name": "ADAM",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "618-651-0444",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ApexNetwork Physical Threrapy",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Highland, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.