Organization Active NPI

Physical Therapy Services PC

  • Physical Therapist
  • Quincy, IL
National Provider Identifier
1205812781
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYSICAL THERAPY SERVICES PC
Practice address
4531 Maine St
Ste C
Quincy, IL 62305-5872
Phone
(217) 228-2853
Fax
(217) 228-2868
NPI assigned
Dec 16, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Authorized official

Name
Mrs. Ann C Reis, PT
Title
President
Phone
(217) 228-2853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X IL Primary

Addresses

Primary practice location

4531 Maine St
Ste C
Quincy, IL 62305-5872

Mailing address

4531 Maine St
Ste C
Quincy, IL 62305-5872
Phone (217) 228-2853

National Provider Directory

National Provider Directory

Locations

4531 Maine St
Quincy, IL 62305
Phone (217) 228-2853

4531 Maine St
Ste C
Quincy, IL 62305
Phone (217) 228-2853

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1205812781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4531 MAINE ST",
            "address_2": "STE C",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623055872",
            "telephone_number": "217-228-2853",
            "fax_number": "217-228-2868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4531 MAINE ST",
            "address_2": "STE C",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623055872",
            "telephone_number": "217-228-2853",
            "fax_number": "217-228-2868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-16",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "REIS",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-228-2853",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.