Vandalia Physical Therapy LTD

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

VANDALIA PHYSICAL THERAPY LTD

Practice address

126 S. 1St St.
Vandalia, IL 62471

Phone

(618) 283-1634

Fax

(618) 283-0423

NPI assigned

Apr 4, 2006

Organization subpart

No

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

Authorized official

Name

Mattie Carter, DPT

Title

Owner

Phone

(618) 283-1634

Specialties & licenses 2

Addresses

Other identifiers 5

Other names 3

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

Locations

Practitioners 6

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

• Kane M Freeman, PT

  • Physical Therapist
  • Highland, IL
  • NPI 1184742207
  NPD (past)
• Ashley Hadowsky, MSPT

  • Physical Therapist
  • Vandalia, IL
  • NPI 1568581163
  NPD (past)
• Kevin Patrick Ryan, MPT

  • Physical Therapist
  • Shelbyville, IL
  • NPI 1326341645
  NPD (past)
• Amy Jean Summers, P.T.

  • Physical Therapist
  • Shelbyville, IL
  • NPI 1790752178
  NPD (past)
• Ethan Turner, DPT

  • Physical Therapist
  • Shelbyville, IL
  • NPI 1003463530
  NPD (past)
• Tina Marie Engel, PT

  • Physical Therapist
  • Ozark, MO
  • NPI 1952520363
  NPD (past)

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "02621166",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "058989",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH PLAN",
            "identifier": "135204",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "331866",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "371315508",
            "state": "IL"
        }
    ],
    "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"
        }
    ]
}

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• Physical Therapy Clinic/Center in Vandalia, IL
• Providers in Vandalia, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• 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.