NPIMap

Organization Active NPI

Vandalia Physical Therapy LTD

Doing business as Transforming Physical Therapy

  • Physical Therapy Clinic/Center
  • Vandalia, IL
National Provider Identifier
1174585384
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
VANDALIA PHYSICAL THERAPY LTD
Doing business as
Transforming Physical Therapy
Vandalia Physical Therapy
Practice address
126 S. 1St St.
Vandalia, IL 62471
Phone
(618) 283-1634
Fax
(618) 283-0423
NPI assigned
Apr 4, 2006
Last updated
Aug 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Authorized official

Name
Mattie Carter, DPTNPI 1922684653
Title
Owner
Phone
(618) 283-1634

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

126 S. 1St St.
Vandalia, IL 62471

Mailing address

126 S. 1St St.
Vandalia, IL 62471
Phone (618) 283-1634

Other names 3

  • Transforming Physical Therapy Doing business as
  • Vandalia Physical Therapy Doing business as
  • Francis Physical Therapy Former legal business name

National Provider Directory

National Provider Directory

Locations

610 E City Route 40
Greenville, IL 62246
Phone (618) 258-9093

620 E City Route 40
Greenville, IL 62246
Phone (618) 283-1634

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755043200000",
    "number": "1174585384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 S. 1ST ST.",
            "city": "VANDALIA",
            "state": "IL",
            "postal_code": "62471",
            "telephone_number": "618-283-1634",
            "fax_number": "618-283-0423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 S. 1ST ST.",
            "city": "VANDALIA",
            "state": "IL",
            "postal_code": "62471",
            "telephone_number": "618-283-1634",
            "fax_number": "618-283-0423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANDALIA PHYSICAL THERAPY LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-04",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "MATTIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-283-1634",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Transforming Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Vandalia Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Francis Physical Therapy",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Vandalia, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; 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.