Organization Active NPI

Summit Physical Therapy Services,LLC

Doing business as ApexNetwork Physical Therapy

  • Physical Therapist
  • Waterloo, IL
National Provider Identifier
1588980247
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SUMMIT PHYSICAL THERAPY SERVICES,LLC
Doing business as
ApexNetwork Physical Therapy
Practice address
917 N Illinois Route 3
Market Street Plaza
Waterloo, IL 62298-1074
Phone
(618) 651-0444
NPI assigned
Apr 20, 2010
Last updated
Jan 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Richard J Fleming, PTNPI 1821109737
Title
Owner/President
Phone
(618) 651-0444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

917 N Illinois Route 3
Market Street Plaza
Waterloo, IL 62298-1074

Mailing address

15 Apex Dr
Highland, IL 62249-1282

Other practice location 1

634 N Market St
Waterloo, IL 62298-1012
Phone (618) 939-3400

Other practice location 2

5701 Godfrey Rd
Godfrey, IL 62035-2471
Phone (618) 433-9919

Other names 1

  • ApexNetwork Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101220000778 IL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4486842325 Receives reassigned benefits from 5 practitioners
Practice locations: Godfrey, IL; Waterloo, IL

National Provider Directory

National Provider Directory

Locations

634 N Market St
Waterloo, IL 62298
Phone (618) 939-3400

917 N Illinois Route 3
Waterloo, IL 62298
Phone (618) 939-3400

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1588980247",
    "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": "917 N ILLINOIS ROUTE 3",
            "address_2": "MARKET STREET PLAZA",
            "city": "WATERLOO",
            "state": "IL",
            "postal_code": "622981074",
            "telephone_number": "618-651-0444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "634 N Market St",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "IL",
            "postal_code": "622981012",
            "country_code": "US",
            "telephone_number": "618-939-3400",
            "fax_number": "618-939-3429",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5701 Godfrey Rd",
            "address_purpose": "LOCATION",
            "city": "Godfrey",
            "state": "IL",
            "postal_code": "620352471",
            "country_code": "US",
            "telephone_number": "618-433-9919",
            "fax_number": "618-433-1455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SUMMIT PHYSICAL THERAPY SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-20",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "FLEMING",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "618-651-0444",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ApexNetwork Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterloo, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.