Physical Therapy Center Ltd
NPI 1487639423ActiveOrganization· Physical Therapist· Bourbonnais, IL
Physical Therapist in Bourbonnais, Illinois, registered in NPPES in December 2005. The authorized official on file is Judith Marie Landrebe, PT, Owner Pt. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1487639423 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 13, 2005 |
| Last updated in NPPES | Nov 19, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 060005773 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (IL) |
|---|
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