Active NPI
Ultimus Management-Il LLC
- Geriatric Physical Therapist
- Springfield, IL
National Provider Identifier
1447818166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- Legal business name
- ULTIMUS MANAGEMENT-IL LLC
- Practice address
- 920 S Spring St
Springfield, IL 62704-2725 - Phone
- (609) 509-2388
- NPI assigned
- May 29, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard Austin Duus, CPA
- Title
- Cfo
- Phone
- (609) 509-2388
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | Primary | ||
| Gerontology Occupational Therapist | 225XG0600X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
920 S Spring St
Springfield, IL 62704-2725
Mailing address
132 Pearlcroft Rd
Cherry Hill, NJ 08034-3334
Phone (609) 509-2388
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1559088000000",
"number": "1447818166",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "132 PEARLCROFT RD",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080343334",
"telephone_number": "609-509-2388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 S SPRING ST",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627042725",
"telephone_number": "609-509-2388"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ULTIMUS MANAGEMENT-IL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-29",
"last_updated": "2019-05-29",
"status": "A",
"authorized_official_last_name": "DUUS",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "AUSTIN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "609-509-2388",
"authorized_official_credential": "CPA"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist, Geriatrics",
"state": null,
"license": null,
"primary": true
},
{
"code": "225XG0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Gerontology",
"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": []
}
Other providers in Springfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.