MEDICARE: CLINTON PHYSICAL THERAPY SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255511218
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLINTON PHYSICAL THERAPY SERVICES

Provider Business Mailing Address
First Line	:	1121 N 5TH ST
Second Line	:
City	:	SAVANNA
State	:	IL
Zip	:	61074-9732
Country	:	US
Telephone Number	:	815-273-7049
Fax Number	:	815-273-2575

Provider Business Practice Location Address
First Line	:	1121 N 5TH ST
Second Line	:
City	:	SAVANNA
State	:	IL
Zip	:	61074-9732
Country	:	US
Telephone Number	:	815-273-7049
Fax Number	:	815-273-2575

Authorized Official
Title or Position	:	PRESIDENT
Name	:	GARY D VANDE KAMP
Credential	:	P.T.
Telephone Number	:	563-357-0305

Provider Enumeration Date	:	11/07/2007
Last Update Date	:	06/27/2008

Similar Medicare Providers

1578559266 — LYNNETTE S JONES PT
Practice Location Address:

1121 N 5TH ST
SAVANNA, IL
61074-9732

Practice Phone: 815-273-7049
Practice Fax: 815-273-2575

1447258355 — DR. WILLIAM J TONNE DDS
Practice Location Address:

401 MAIN ST
SAVANNA, IL
61074-1535

Practice Phone: 815-273-2212
Practice Fax: 815-273-2218

1962491142 — RICHARD JOSEPH KEPPLER CRNA
Practice Location Address:

11508 HWY 52
SAVANNA, IL
61074

Practice Phone: 563-580-7366
Practice Fax:

1790768620 — TOM M KAO DC PC
Practice Location Address:

202 MAIN ST
SAVANNA, IL
61074-1628

Practice Phone: 815-273-5022
Practice Fax: 815-273-5022

1750357562 — JEANNE RANE BYERS SPRAETZ MA CCC SLP
Practice Location Address:

1706 SUPERIOR AVE
SAVANNA, IL
61074-2424

Practice Phone: 815-541-1857
Practice Fax: 815-273-4354

1790751287 — TIS CHALLENGING SPEECH
Practice Location Address:

1706 SUPERIOR AVE
SAVANNA, IL
61074

Practice Phone: 815-273-4354
Practice Fax:

Directions to “CLINTON PHYSICAL THERAPY SERVICES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.