Organization Active NPI

Apex Physical Therapy, LLC

Doing business as ApexNetwork Physical Therapy

  • Physical Therapy Clinic/Center
  • Glen Carbon, IL
National Provider Identifier
1942464045
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
APEX PHYSICAL THERAPY, LLC
Doing business as
ApexNetwork Physical Therapy
Practice address
4280 S State Route 159
Ste 3
Glen Carbon, IL 62034-3269
Phone
(618) 288-4233
Fax
(618) 288-4755
NPI assigned
Jul 17, 2008
Last updated
Dec 8, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Authorized official

Name
Mr. Bradley R Pfitzner, OTR LNPI 1548293236
Title
Ceo/President
Phone
(618) 651-0444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

4280 S State Route 159
Ste 3
Glen Carbon, IL 62034-3269

Mailing address

15 Apex Dr
Highland, IL 62249-1282
Phone (618) 651-0444

Other practice location 1

4996 S State Route 159 Ste B
Glen Carbon, IL 62034-1906
Phone (618) 288-4677

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
O20041209000762 IL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2264423458 Receives reassigned benefits from 34 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Troy, IL; Smithton, IL; Mascoutah, IL; Lebanon, IL; Highland, IL; Granite City, IL; Glen Carbon, IL; Gillespie, IL…

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

144 Lincoln Place Ct
Ste 1
Belleville, IL 62221
Phone (618) 233-5163

Practitioners & affiliated clinicians

Practitioners 2

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": "1216252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1942464045",
    "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",
            "telephone_number": "618-651-0444",
            "fax_number": "618-654-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4280 S STATE ROUTE 159",
            "address_2": "STE 3",
            "city": "GLEN CARBON",
            "state": "IL",
            "postal_code": "620343269",
            "telephone_number": "618-288-4233",
            "fax_number": "618-288-4755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4996 S STATE ROUTE 159 STE B",
            "address_purpose": "LOCATION",
            "city": "Glen Carbon",
            "state": "IL",
            "postal_code": "620341906",
            "country_code": "US",
            "telephone_number": "618-288-4677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "APEX PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-17",
        "last_updated": "2021-12-08",
        "certification_date": "2021-11-30",
        "status": "A",
        "authorized_official_last_name": "PFITZNER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "618-651-0444",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OTR L"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ApexNetwork Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ApexNetwork Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glen Carbon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.