Organization
VANDALIA PHYSICAL THERAPY LTD
Active
Other names
Francis Physical Therapy, Vandalia Physical Therapy, Transforming Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MATTIE CARTER DPT (OWNER)
(618) 283-1634
Entity
Organization
Contact information
Practice address
126 S. 1ST ST., VANDALIA, IL 62471
(618) 283-1634
(618) 283-0423
Mailing address
126 S. 1ST ST., VANDALIA, IL 62471
(618) 283-1634
(618) 283-0423
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02621166
BLUE CROSS BLUE SHIELD
IL
01
—
058989
HEALTH ALLIANCE
IL
01
—
135204
GROUP HEALTH PLAN
IL
01
—
331866
HEALTHLINK
IL
01
—
371315508
TRICARE
IL
Enumeration date
04/04/2006
Last updated
08/13/2025
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