Lifefit Physical Rehab, LTD.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

070005259 Issued in IL

Legal business name

LIFEFIT PHYSICAL REHAB, LTD.

Practice address

1225 N. Sixth St.
Princeton, IL 61356

Phone

(815) 875-2348

Fax

(815) 875-2334

NPI assigned

Feb 14, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Barbara A. Peterson, PTNPI 1497770663

Title

Physical Therapist

Phone

(815) 875-2348

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Barbara A Peterson, PT

  • Physical Therapist
  • Princeton, IL
  • NPI 1497770663
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241740800000",
    "number": "1306014196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 N. SIXTH ST.",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "61356",
            "telephone_number": "815-875-2348",
            "fax_number": "815-875-2334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 N. SIXTH ST.",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "61356",
            "telephone_number": "815-875-2348",
            "fax_number": "815-875-2334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEFIT PHYSICAL REHAB, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2009-05-08",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "815-875-2348",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070005259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellie Marie Kozlowski, PMHNP-BC
• Elvin Mast Krabill, DDS
• Cory J Kramer, NP
• Lisa Lau, MHP
• Life Is Beautiful LLC
• Liz Healthcare and Psychiatry
• Louis J. Foley, M.D. Gynecology, LTD
• Leslie Erin Lund, DC
• Colette Marie Maher, LCPC
• Donald R Marion, OD

• Physical Therapy Clinic/Center in Princeton, IL
• Providers in Princeton, 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 May 8, 2009; 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.