Toni Marie Lais, P.T.
Individual provider Active NPI Physical Therapist · Eureka, IL
NPI 1821395773 · NPPES record last updated Mar 12, 2013
Key facts
- NPI
- 1821395773
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070.017501 (IL)
- Practice address
- 120 N Main St
Eureka, IL 61530-1182 - Phone
- (309) 467-3220
- Fax
- (309) 467-3240
- NPI assigned
- Feb 11, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.017501 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Illinois Institute of Balance LLC | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.017501 | IL | Yes |
Addresses
Primary practice location
120 N Main St
Eureka, IL 61530-1182
Mailing address
120 N Main St
Eureka, IL 61530-1182
Phone (309) 467-3220
Other providers in Eureka, IL
- Steven K. Jones
- Michael Keedy
- John C Kell
- Keith E. Knepp
- Jesse Ellen Kolb
- Tomislav Lakic
- Eric John Larson
- Monica Malcome
- Maple Lawn Health Center
- Maple Lawn Homes Inc.
All providers in Eureka, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 12, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.