Organization
APEX PHYSICAL THERAPY, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY R PFITZNER OTR/L (CEO PRESIDENT)
(618) 651-0444
Entity
Organization
Contact information
Practice address
560 N 2ND ST, BREESE, IL 62230-1650
(618) 526-7801
(618) 526-7901
Mailing address
15 APEX DR, HIGHLAND, IL 62249-1282
(618) 651-0444
(618) 654-5439
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
IL
261QX0100X
Occupational Medicine Clinic/Center
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06032069
BCBS OF ILLINOIS
IL
01
—
168804
GHP
IL
01
—
186307
BCBS OF MISSOURI
MO
01
—
2134393
FIRST HEALTH
IL
01
—
3863264
CIGNA
IL
01
—
469595
HEALTHLINK
IL
01
—
5535611
CCN
IL
01
—
64-00598
UHC
IL
01
—
7734423
AETNA
IL
Enumeration date
07/15/2006
Last updated
09/16/2007
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