Wabash Christian Therapy and Medical Clinic LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

WABASH CHRISTIAN THERAPY AND MEDICAL CLINIC LLC

Practice address

1112 Oak St
Carmi, IL 62821-1344

Phone

(217) 732-5155

NPI assigned

Feb 10, 2014

Organization subpart

No

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

Authorized official

Name

Timothy Phillippe

Title

Ceo

Phone

(217) 732-9651

Specialties & licenses 1

Addresses

Other names 1

• Wabash Christian Therapy Doing business as

Locations

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

{
    "created_epoch": "1391990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576800000000",
    "number": "1255755344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "622 EMERSON RD",
            "address_2": "SUITE 310",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416727",
            "telephone_number": "217-732-9651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 OAK ST",
            "city": "CARMI",
            "state": "IL",
            "postal_code": "628211344",
            "telephone_number": "217-732-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WABASH CHRISTIAN THERAPY AND MEDICAL CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-10",
        "last_updated": "2019-12-20",
        "certification_date": "2019-12-20",
        "status": "A",
        "authorized_official_last_name": "PHILLIPPE",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "217-732-9651"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wabash Christian Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Doctors Clinic
• Therapeutic Solutions PC
• Patricia Danielle Trout, CCC-SLP
• Lucretia Drew Vaupel
• Jacob Voyles
• Wabash Estates, LP
• Wabash Estates, LP
• Wabash Senior Living & Rehabilitation LLC
• Wal-Mart Stores, Inc
• Sally Walker, MA,BS

• Rehabilitation Clinic/Center in Carmi, IL
• Providers in Carmi, IL by specialty
• Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.