# ADVANCED PHYSICAL THERAPY SERVICES LTD

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Advanced Rehab Sports Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104247501
- **Authorized official:** MARK STEVEN OERTWIG (DIRECTOR OF FINANCE)
- **Authorized official phone:** (309) 661-8823

## Contact information

- **Practice address:** 256 S SOANGETAHA RD STE 108, GALESBURG, IL 61401-5596
- **Practice address phone:** (309) 343-3434
- **Practice address fax:** (309) 343-3456
- **Mailing address:** PO BOX 47, BLOOMINGTON, IL 61702-0047
- **Mailing address phone:** (309) 661-8823
- **Mailing address fax:** (309) 661-8801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 01/02/2014
- **Last updated:** 11/03/2022