Advanced Physical Therapy Services, LTD.
Organization Active NPI Physical Therapist · Macomb, IL
NPI 1336307115 · NPPES record last updated May 19, 2022
Key facts
- NPI
- 1336307115
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- ADVANCED PHYSICAL THERAPY SERVICES, LTD.
- Practice address
- 130 S Lafayette St
Suite a
Macomb, IL 61455-2289 - Phone
- (309) 836-2500
- Fax
- (309) 836-2501
- NPI assigned
- May 28, 2008
- Organization subpart
- Yes
- Parent organization (as reported)
- ADVANCED PHYSICAL THERAPY SERVICES, LTD.
Authorized official
- Name
- Mr. Michael R Salaway
- Title
- President of Operations
- Phone
- (309) 661-8823
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 4
Corporate family (same tax ID) 9
Practitioners 220
-
Peter S Abadeer, D.O.
-
Michael A Ahearn, MD
-
Amanda A Allen, APN
-
Jennifer L Anderson, PAC
-
Kristin Anderson, ARNP
-
William Bailey, M.D.
-
Kimberly J. Bankston, ANP
-
Kheder Basheer, MD
-
Steven K Below, M.D.
-
Lilla Gyires Berck, M.D.
-
Richard A Berger, M.D.
-
Steven A Boardman, M.D.
-
Jennifer Brokaw, F.N.P.
-
Jessica Lynn Bugos, APRN
-
Clair L Casagrande, APRN, FNP-C
-
Rick S Cernovich, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061011000025 | IL | Part a Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services | 9133101462 |
1 other NPI on this enrollment Practice locations: Macomb, IL |
National Provider Directory
- Tax ID family
- Advanced Rehab Sports Medicine
- Part of
- Advanced Rehab Sports Medicine
Locations
130 S Lafayette St
Ste A
Macomb, IL 61455
Phone (309) 836-2500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | IL | Yes |
Addresses
Primary practice location
130 S Lafayette St
Suite a
Macomb, IL 61455-2289
Mailing address
PO Box 5387
Bloomington, IL 61702-5387
Phone (309) 661-8823
Other names
- Advanced Rehab and Sports Medicine
Other providers in Macomb, IL
- Finny Abraham
- Susan Adams
- Age Rehab & Medical Fitness
- Air Evac EMS, Inc.
- Kenneth Dale Albert Jr.
- Mariia Aleshina
- Robyn R Alley-Hay
All providers in Macomb, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.