PHYSICAL THERAPISTS CLINIC LTD NPI 1083769475

NPI Information

  • NPI: 1083769475
  • Provider Name: PHYSICAL THERAPISTS CLINIC, LTD
  • Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
  • Entity Type: Organization
  • Address: 1440 W WALNUT ST
    SUITE2
    JACKSONVILLE, IL
    ZIP 62650
  • Phone: (217) 245-1325

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NPI Details

PHYSICAL THERAPISTS CLINIC, LTD is a durable medical equipment medical supplies in Jacksonville, IL. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. PHYSICAL THERAPISTS CLINIC, LTD NPI is 1083769475. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1440 W WALNUT ST
SUITE2
JACKSONVILLE, IL
ZIP 62650-143
Phone: (217) 245-1325
Fax: (217) 243-6903

The provider's authorized official is Cheryl Diane Barber .
The authorized official title is Insurance Manager and has the following contact phone number (217) 245-1325.

The enumeration date for this NPI number is 1/24/2007 and was last updated on 5/2/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225100000XPhysical TherapistNo
2332B00000XDurable Medical Equipment & Medical Supplies203000094ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11558480418MEDICAIDILLINOIS
20179880001MEDICARE NSCILLINOIS
3CG5289MEDICARE PINILLINOIS
4005415281OTHERILLINOISBCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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