Active NPI
Princeton Physical Therapy, PC
- Physical Therapist
- Princeton, IL
National Provider Identifier
1609801596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- PRINCETON PHYSICAL THERAPY, PC
- Practice address
- 200 Ace Rd Ste 2
Princeton, IL 61356 - Phone
- (815) 875-4441
- Fax
- (815) 875-7732
- NPI assigned
- Jul 11, 2006
- 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
- Mrs. Cynthia Couri Behrends, PT
- Title
- Ceo
- Phone
- (815) 875-4441
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
200 Ace Rd Ste 2
Princeton, IL 61356
Mailing address
200 Ace Road Ste 2
Princeton, IL 61356
Phone (815) 875-4441
National Provider Directory
National Provider DirectoryLocations
200 Ace Rd
Ste 2
Princeton, IL 61356
Phone (815) 875-4441
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1609801596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 ACE ROAD STE 2",
"city": "PRINCETON",
"state": "IL",
"postal_code": "61356",
"telephone_number": "815-875-4441",
"fax_number": "815-875-7732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 ACE RD STE 2",
"city": "PRINCETON",
"state": "IL",
"postal_code": "61356",
"telephone_number": "815-875-4441",
"fax_number": "815-875-7732"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRINCETON PHYSICAL THERAPY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-11",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BEHRENDS",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_middle_name": "COURI",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "815-875-4441",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Princeton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.