City Center Physical Therapy - Peru, Inc.

LBN: City Center Physical Therapy - Peru, Inc.
City Center Physical Therapy - Peru, Inc. is an health care organization with primary practice located at 1627 4Th St , Peru IL 61354-3507. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. City Center Physical Therapy - Peru, Inc. can be contacted via phone (815) 223-4479, or through Semlow, Timothy R via phone (815) 722-1757.

Contact Information

Primary practice address
1627 4Th St Peru IL 61354-3507
Phone: (815) 223-4479
Fax: (815) 223-4489
Website:
Map and Directions
Authorized official contact:
Name: Semlow, Timothy R Physical Therapist (PT)
Phone: (815) 722-1757

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X Illinois

Profile Details

NPI number 1043362965
LBN Legal business name City Center Physical Therapy - Peru, Inc.
DBA Doing business as
Authorized official Semlow, Timothy R Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2007
Last updated Mar 25th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043362965 NPPES
Illinois MEDICAID 211359
Illinois Other 05032048
Illinois Other DO3556

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