Healthcare Provider Details

I. General information

NPI: 1851319511
Provider Name (Legal Business Name): APEX PHYSICAL THERAPY, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2277 S MAIN ST
PARIS IL
61944-2963
US

IV. Provider business mailing address

15 APEX DR
HIGHLAND IL
62249-1282
US

V. Phone/Fax

Practice location:
  • Phone: 217-465-7800
  • Fax: 217-466-4704
Mailing address:
  • Phone: 618-651-0444
  • 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 StateIL

VIII. Authorized Official

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