Athletic Therapy Center, P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070004745 Issued in IL

Legal business name

ATHLETIC THERAPY CENTER, P.C.

Practice address

2346 Mascoutah Ave
Belleville, IL 62220-3499

Phone

(618) 277-6282

NPI assigned

Nov 7, 2006

Organization subpart

No

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

Authorized official

Name

Jill Kettler

Title

Office Manager

Phone

(618) 277-6282

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1992874416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2346 MASCOUTAH AVE",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622203499",
            "telephone_number": "618-277-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2346 MASCOUTAH AVE",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622203499",
            "telephone_number": "618-277-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHLETIC THERAPY CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "KETTLER",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "618-277-6282"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070004745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Arnold, OT
• Elizabeth Ashley
• Rebecca A Ashworth-Rhein, LCSW
• Associated Foot Surgeons of Belleville, LTD.
• Associated Foot Surgeons of Southwest Illinois, LTD.
• Whitney Aubrecht, BCBA
• Auditory Consultations Inc
• Joann Auer, R.PH.
• Cindy L. Auld, FNP
• Avalcare

• All providers in Belleville, IL
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.