Small Steps, Inc
Organization Active NPI Physical Therapy Clinic/Center · Troy Grove, IL
NPI 1366596702 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1366596702
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- SMALL STEPS, INC
- Practice address
- 208 N Main Street
Troy Grove, IL 61372 - Phone
- (815) 538-5137
- Fax
- (815) 538-5137
- NPI assigned
- Jan 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Kristina Julie Koch, P.T.
- Title
- Owner
- Phone
- (815) 538-5137
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | IL | Yes |
Addresses
Primary practice location
208 N Main Street
Troy Grove, IL 61372
Mailing address
208 N Main Street
Troy Grove, IL 61372
Phone (815) 538-5137
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11445116 | Other | IL | CAQH PROVIDER ID |
| 0005032019 | Other | IL | BCBS # |
Other providers in Troy Grove, IL
All providers in Troy Grove, IL · Physical Therapy Clinic/Center in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.