Heritage Enterprises, Inc
Organization Active NPI Physical Therapy Clinic/Center · Bloomington, IL
NPI 1104236165 · NPPES record last updated Apr 30, 2014
Key facts
- NPI
- 1104236165
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- HERITAGE ENTERPRISES, INC
- Practice address
- 700 E Walnut St
Bloomington, IL 61701-3244 - Phone
- (309) 829-1268
- Fax
- (309) 829-3475
- NPI assigned
- Apr 30, 2014
- Organization subpart
- No
Authorized official
- Name
- David M Underwood
- Title
- Sr VP & Cfo
- Phone
- (309) 823-7135
Corporate family (same tax ID) 12
National Provider Directory
- Tax ID family
- Heritage Enterprises Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
700 E Walnut St
Bloomington, IL 61701-3244
Mailing address
115 W Jefferson St
Suite 401
Bloomington, IL 61701-3946
Phone (309) 823-7139
Other names
- Green Tree Therapy
Other providers in Bloomington, IL
- Elizabeth Helton
- Jessica Anne Helton
- Beau Hendren-Santiago
- Drew Henneberg
- Jennifer Henneberg
- Heritage Enterprises, Inc.
- Heritage Manor - Bloomington, LLC
- Heritage Manor - Lasalle, LLC
- Heritage Manor Bloomington, LLC
- Christopher M Herman
All providers in Bloomington, IL · Physical Therapy Clinic/Center in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 30, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.