St Anthonys Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ST ANTHONYS PHYSICAL THERAPY LLC

Practice address

767 30TH St Ste 2
Rock Island, IL 61201-1945

Phone

(309) 292-5499

NPI assigned

Feb 3, 2023

Organization subpart

No

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

Authorized official

Name

Rajiv Shah

Title

Ceo

Phone

(561) 315-5037

Specialties & licenses 3

Addresses

Other names 1

• Fit for Life physical therapy Doing business as

Locations

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696896000000",
    "number": "1437855210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 30TH ST STE 2",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612011945",
            "telephone_number": "309-292-5499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 30TH ST STE 2",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612011945",
            "telephone_number": "309-292-5499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST ANTHONYS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "RAJIV",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-315-5037"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fit for Life physical therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fit for Life physical therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daisy Linette Sohn
• Bing-Wen Soong
• Michael D. Spears, MD
• Jillian Elizabeth Spragg
• St Anthony'S Nursing & Rehab Center LLC.
• St Anthonys Rehabilitation and Nursing Center LLC
• Kaitlyn Staley
• Andrew Starenko, CRNFA
• Merissa Dawn Stater
• James Thomas Stegmaier

• Physical Therapist in Rock Island, IL
• Providers in Rock Island, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.