Healthcare Provider Details

I. General information

NPI: 1750338570
Provider Name (Legal Business Name): APEX PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2611 S BANKER ST
EFFINGHAM IL
62401-2980
US

IV. Provider business mailing address

15 APEX DR
HIGHLAND IL
62249-1282
US

V. Phone/Fax

Practice location:
  • Phone: 217-342-6002
  • Fax: 217-342-6211
Mailing address:
  • Phone: 618-651-0444
  • Fax: 618-654-5439

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. BRADLEY R. PFITZNER
Title or Position: CEO/PRESIDENT
Credential: OTR/L
Phone: 618-651-0444