Litchfield Physical Therapy,LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

LITCHFIELD PHYSICAL THERAPY,LLC

Practice address

1403 W Ferdon St
Ste 4
Litchfield, IL 62056-4448

Phone

(618) 651-0444

NPI assigned

Dec 10, 2010

Last updated

Dec 10, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kristin Weiss

Title

President

Phone

(618) 741-3416

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1291939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291939200000",
    "number": "1336442433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 APEX DR",
            "city": "HIGHLAND",
            "state": "IL",
            "postal_code": "622491282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 W FERDON ST",
            "address_2": "STE 4",
            "city": "LITCHFIELD",
            "state": "IL",
            "postal_code": "620564448",
            "telephone_number": "618-651-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITCHFIELD PHYSICAL THERAPY,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-10",
        "last_updated": "2010-12-10",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-741-3416"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Litchfield Health and Rehab Center LLC
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• Litchfield Oncology Institute LTD
• Litchfield Orthopedic & Sports Medicine Clinic
• Litchfield Physical Medicine LTD
• Litchfield Terrace, LTD
• John Love
• Macoupin County Public Health Department (St Francis Way Clinic)
• Macoupin County Public Health Department (Columbian Boulevard Dental Clinic)
• Kayleigh Kerensa Magnus, PTA

• Physical Therapist in Litchfield, IL
• Providers in Litchfield, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2010; 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.