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HR PHYSICAL THERAPY SPORTS & INDUSTRIAL REHABILITATION PC NPI 1265474555


NPI Information

NPI: 1265474555
Provider Name: HR PHYSICAL THERAPY , SPORTS & INDUSTRIAL REHABILITATION PC

Former Legal Business Name: HEARTLAND REHABILITATION

Classification: Physical Therapist - 2251X0800X
Entity Type: Organization

Specialization: Orthopedic

Address:
3308 LOGAN DR
HERRIN, IL
ZIP 62948
Phone: (618) 993-4024
Get Directions

HR PHYSICAL THERAPY , SPORTS & INDUSTRIAL REHABILITATION PC is an orthopedic physical therapist in Herrin, IL. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. HR PHYSICAL THERAPY , SPORTS & INDUSTRIAL REHABILITATION PC NPI is 1265474555. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Heartland Rehabilitation.

The provider's business location address is:

3308 LOGAN DR
HERRIN, IL
ZIP 62948-759
Phone: (618) 993-4024
Fax: (618) 993-1570

The provider's authorized official is Laura L Roach .
The authorized official title is President and has the following contact phone number (618) 993-4024.

The enumeration date for this NPI number is 6/12/2006 and was last updated on 3/9/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251X0800XPhysical TherapistOrthopedic070007595ILLINOISNo
22251X0800XPhysical TherapistOrthopedic070014266ILLINOISNo
32251X0800XPhysical TherapistOrthopedic070004717ILLINOISYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1K34547MEDICARE PINILLINOIS
2K34548MEDICARE PINILLINOIS
33467499841001MEDICAIDILLINOIS
4K16413MEDICARE ID-TYPE UNSPECIFIEDILLINOISRACHEL STACEY
5484800286001MEDICAIDILLINOIS
6344647789001MEDICAIDILLINOIS

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.