NPIMap

Axes Physical Therapy, LLC

Organization Active NPI Physical Therapy Clinic/Center · Glen Carbon, IL

NPI 1093425944 · NPPES record last updated Dec 1, 2022

Key facts

NPI
1093425944
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapy Clinic/Center 261QP2000X
Legal business name
AXES PHYSICAL THERAPY, LLC
Practice address
138 Junction Dr
Glen Carbon, IL 62034-4322
Phone
(618) 636-5756
NPI assigned
Dec 1, 2022
Organization subpart
No

Authorized official

Name
John Teepe
Title
Member
Phone
(314) 764-2230

Other NPIs with the same Medicare PAC ID 11

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 10

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

Practitioners 112

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

View all 112

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20230510000266 IL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3375840028 Receives reassigned benefits from 8 practitioners
Practice locations: Glen Carbon, IL

National Provider Directory

Tax ID family
Axes Physical Therapy LLC (11 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Yes

Addresses

Primary practice location

138 Junction Dr
Glen Carbon, IL 62034-4322

Mailing address

4273 Keaton Crossing Blvd
O Fallon, MO 63368-8220
Phone (636) 206-6540

Other providers in Glen Carbon, IL

All providers in Glen Carbon, IL · Physical Therapy Clinic/Center in Illinois

Sources for this page

Verify at the official NPI Registry.