Organization Active NPI

Helfrich Holdings LLC

  • Physical Therapy Clinic/Center
  • Troy, IL
National Provider Identifier
1295367548
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
HELFRICH HOLDINGS LLC
Doing business as
Tailor Made Physical Therapy
Practice address
300 Jarvis CT Ste 6
Troy, IL 62294-1155
Phone
(314) 775-1102
NPI assigned
Feb 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

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

Authorized official

Name
Mr. Matthew Alan Helfrich, MPTNPI 1194983866
Title
Ceo
Phone
(314) 775-1102

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

300 Jarvis CT Ste 6
Troy, IL 62294-1155

Mailing address

203 Ellington CT
Glen Carbon, IL 62034-1360
Phone (314) 775-1102

Other names 1

  • Tailor Made Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210206000046 IL Part B Supplier - Clinic/Group Practice 4981018736 Receives reassigned benefits from 5 practitioners
Practice locations: Troy, IL; O Fallon, IL

National Provider Directory

National Provider Directory

Locations

729 Insight Ave
Ste 200
O Fallon, IL 62269
Phone (618) 505-0044

641 Edwardsville Rd
Troy, IL 62294

300 Jarvis Ct
Ste 6
Troy, IL 62294
Phone (314) 775-1102

Practitioners & affiliated clinicians

Practitioners 5

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": "1580860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613433600000",
    "number": "1295367548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 ELLINGTON CT",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620341360",
            "telephone_number": "314-775-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 JARVIS CT STE 6",
            "city": "TROY",
            "state": "IL",
            "postal_code": "622941155",
            "telephone_number": "314-775-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELFRICH HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-05",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A",
        "authorized_official_last_name": "HELFRICH",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "314-775-1102",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tailor Made Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Troy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.