Physical Therapists Clinic, Ltd

LBN: Physical Therapists Clinic, Ltd
Physical Therapists Clinic, Ltd is an health care organization with primary practice located at 1440 W Walnut St Suite2, Jacksonville IL 62650-1143. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Suppliers / Durable Medical Equipment & Medical Supplies. Suppliers / Durable Medical Equipment & Medical Supplies is the primary health care specialty. Physical Therapists Clinic, Ltd can be contacted via phone (217) 245-1325, or through Barber, Cheryl Diane via phone (217) 245-1325.

Contact Information

Primary practice address
1440 W Walnut St Suite2 Jacksonville IL 62650-1143
Phone: (217) 245-1325
Fax: (217) 243-6903
Website:
Map and Directions
Authorized official contact:
Name: Barber, Cheryl Diane
Phone: (217) 245-1325

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 203000094 Illinois

Profile Details

NPI number 1083769475
LBN Legal business name Physical Therapists Clinic, Ltd
DBA Doing business as
Authorized official Barber, Cheryl Diane
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2007
Last updated May 2nd, 2008 - about 17 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 1083769475 NPPES
Illinois MEDICAID 1558480418
Illinois Other 005415281

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