Active NPI
Professional Therapy Services, Inc
- Physical Therapist
- Morton, IL
National Provider Identifier
1255659975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- PROFESSIONAL THERAPY SERVICES, INC
- Practice address
- 430 W Edgewood CT
Morton, IL 61550-2402 - Phone
- (309) 263-4200
- Fax
- (309) 263-4209
- NPI assigned
- May 5, 2010
- Organization subpart
- Yes
- Parent organization
- PROFESSIONAL THERAPY SERVICES, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael R Riley
- Title
- President
- Phone
- (618) 234-9705
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
430 W Edgewood CT
Morton, IL 61550-2402
Mailing address
430 W Edgewood CT
Morton, IL 61550-2402
Phone (309) 263-4200
National Provider Directory
National Provider Directory- Part of
- Professional Therapy SE
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273017600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1298332800000",
"number": "1255659975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "430 W EDGEWOOD CT",
"city": "MORTON",
"state": "IL",
"postal_code": "615502402",
"telephone_number": "309-263-4200",
"fax_number": "309-263-4209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 W EDGEWOOD CT",
"city": "MORTON",
"state": "IL",
"postal_code": "615502402",
"telephone_number": "309-263-4200",
"fax_number": "309-263-4209"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONAL THERAPY SERVICES, INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PROFESSIONAL THERAPY SERVICES, INC.",
"enumeration_date": "2010-05-05",
"last_updated": "2011-02-22",
"status": "A",
"authorized_official_last_name": "RILEY",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "618-234-9705"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Morton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.