Healthcare Provider Details

I. General information

NPI: 1710732607
Provider Name (Legal Business Name): APEX PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2024
Last Update Date: 04/23/2024
Certification Date: 04/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1128 E CENTERTON BLVD
CENTERTON AR
72719-6058
US

IV. Provider business mailing address

15 APEX DR
HIGHLAND IL
62249-1282
US

V. Phone/Fax

Practice location:
  • Phone: 479-464-3548
  • Fax: 479-464-3548
Mailing address:
  • Phone: 877-224-4354
  • Fax: 618-654-5439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: STEVEN ORAVEC
Title or Position: VP/COO
Credential:
Phone: 877-224-4354