R & T Physical Therapy LLC

Organization Active NPI Physical Therapist · Norris City, IL

NPI 1831476092 · NPPES record last updated Mar 27, 2012

Key facts

NPI
1831476092
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
License
070.016618 (IL)
Legal business name
R & T PHYSICAL THERAPY LLC
Practice address
112 South Division St
Norris City, IL 62869
Phone
(618) 841-3702
NPI assigned
Nov 15, 2011
Organization subpart
No

Authorized official

Name
Rhonda Lynn Sutton-Forston, PT
Title
PT
Phone
(618) 841-3702

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20120323000284 IL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9436319738 Receives reassigned benefits from 4 practitioners
Practice locations: Norris City, IL

National Provider Directory

Locations

104 Cardinal Dr
Norris City, IL 62869
Phone (618) 378-3536

112 S Division St
Norris City, IL 62869
Phone (618) 841-3702

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225100000X 070.016618 IL Yes

Addresses

Primary practice location

112 South Division St
Norris City, IL 62869

Mailing address

PO Box 451
112 South Division St
Norris City, IL 62869
Phone (618) 841-3702

Other providers in Norris City, IL

All providers in Norris City, IL · Physical Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.