Organization Active NPI

Inline Physical Therapy LLC

  • Physical Medicine & Rehabilitation Physician
  • Effingham, IL
National Provider Identifier
1992342851
Registry record updated Feb 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
INLINE PHYSICAL THERAPY LLC
Practice address
102 Greenview Dr
Effingham, IL 62401-3048
Phone
(618) 881-0909
Fax
(618) 881-0910
NPI assigned
Dec 10, 2019
Last updated
Feb 7, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
INLINE PHYSICAL THERAPYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 7, 2020

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

Authorized official

Name
Christina L Baker, PTNPI 1689899924
Title
Office Manager/Owner
Phone
(618) 881-0909

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X Primary

Addresses

Primary practice location

102 Greenview Dr
Effingham, IL 62401-3048

Mailing address

102 Greenview Dr
Effingham, IL 62401-3048
Phone (618) 881-0909

Other practice location 1

305B E Cumberland Rd
Altamont, IL 62411-1274
Phone (618) 881-0909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200206000749 IL Part B Supplier - Clinic/Group Practice 9234565490 Receives reassigned benefits from 1 practitioner
Practice locations: Altamont, IL; Olney, IL; Greenup, IL; Effingham, IL

National Provider Directory

National Provider Directory
Part of
Inline Physical Therapy LLC

Locations

305B E Cumberland Rd
Altamont, IL 62411
Phone (618) 881-0909

102 Greenview Dr
Effingham, IL 62401
Phone (217) 708-5131

Practitioners & affiliated clinicians

Practitioners 1

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": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581033600000",
    "number": "1992342851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 GREENVIEW DR",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624013048",
            "telephone_number": "618-881-0909",
            "fax_number": "618-881-0910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 GREENVIEW DR",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624013048",
            "telephone_number": "618-881-0909",
            "fax_number": "618-881-0910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305B E Cumberland Rd",
            "address_purpose": "LOCATION",
            "city": "Altamont",
            "state": "IL",
            "postal_code": "624111274",
            "country_code": "US",
            "telephone_number": "618-881-0909",
            "fax_number": "618-881-0910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INLINE PHYSICAL THERAPY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "INLINE PHYSICAL THERAPY",
        "enumeration_date": "2019-12-10",
        "last_updated": "2020-02-07",
        "certification_date": "2020-02-07",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER/OWNER",
        "authorized_official_telephone_number": "618-881-0909",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Effingham, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2020; 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.