Phoenix Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PHOENIX PHYSICAL THERAPY

Practice address

4111 N Illinois St
Ste C
Swansea, IL 62226-7609

Phone

(618) 235-0700

Fax

(618) 235-0717

NPI assigned

Nov 7, 2008

Last updated

Jun 14, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brian Buescher, PTNPI 1477668531

Title

Member

Phone

(618) 277-8577

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Central Missouri Physical Therapy LLC

  dba Peak Sport and Spine

  • Physical Therapist
  • Columbia, MO
  • NPI 1558436592

  Member Of

  NPD member

Locations

Practitioners 15

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.

• Brian E Buescher, P.T.

  • Physical Therapist
  • Swansea, IL
  • NPI 1477668531
  Medicare reassignment Care Compare group NPD Authorized official
• Christopher John Amick, PT MS

  • Physical Therapist
  • Edwardsville, IL
  • NPI 1659481737
  Medicare reassignment Care Compare group NPD
• Kane M Freeman, PT

  • Physical Therapist
  • Highland, IL
  • NPI 1184742207
  Medicare reassignment Care Compare group NPD
• Michael P Irving, PT

  • Physical Therapist
  • Greenville, IL
  • NPI 1891121174
  Medicare reassignment Care Compare group NPD
• Emily Renee Place, DPT

  • Physical Therapist
  • Highland, IL
  • NPI 1942726328
  Medicare reassignment Care Compare group NPD
• Amy Jean Summers, P.T.

  • Physical Therapist
  • Shelbyville, IL
  • NPI 1790752178
  Medicare reassignment Care Compare group NPD
• Ethan Turner, DPT

  • Physical Therapist
  • Shelbyville, IL
  • NPI 1003463530
  Medicare reassignment Care Compare group NPD
• Kathryn Louise Daniels, PT

  • Physical Therapist
  • Swansea, IL
  • NPI 1548588593
  NPD (past)
• Carlos Daniel Luis, ATC

  • Athletic Trainer
  • Highland, IL
  • NPI 1295160984
  NPD (past)
• Krystal Marie McClenahan, MPT

  • Physical Therapist
  • Greenville, IL
  • NPI 1962730234
  NPD (past)
• Michelle McPherson, P.T.

  • Physical Therapist
  • Scott Air Force Base, IL
  • NPI 1184758963
  NPD (past)
• Todd Edward Meiser, LPT

  • Physical Therapist
  • Bethalto, IL
  • NPI 1922061233
  NPD (past)

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

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276473600000",
    "number": "1659525368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4111 N ILLINOIS ST",
            "address_2": "STE C",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622267609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 N ILLINOIS ST",
            "address_2": "STE C",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622267609",
            "telephone_number": "618-235-0700",
            "fax_number": "618-235-0717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHOENIX PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-07",
        "last_updated": "2010-06-14",
        "status": "A",
        "authorized_official_last_name": "BUESCHER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "618-277-8577",
        "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": []
}

• Enrique Peralta
• Performance Eyecare PC
• Steve Perschbacher, COTA/L
• Petersen Health Care II, Inc (Swansea Rehabilitation & Health Care Center)
• Elissa Pfeiffer
• Cynthia Pickering, PHARMD
• Brittany N Pierson, MA, LCPC
• Holly Irene Pinto, LMT,NCTMB
• Carolina Plaza
• Susan Powell, PH.D.

• Physical Therapist in Swansea, IL
• Providers in Swansea, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.