Moose Physical Therapy, Pllc

LBN: Moose Physical Therapy, Pllc
Moose Physical Therapy, Pllc is an health care organization with primary practice located at 2000 W Pioneer Pkwy Ste 22 , Peoria IL 61615-5805. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as the primary health care specialty. Moose Physical Therapy, Pllc can be contacted via phone (309) 670-0853, or through Calame, Jeremy via phone (309) 670-0853.

Contact Information

Primary practice address
2000 W Pioneer Pkwy Ste 22 Peoria IL 61615-5805
Phone: (309) 670-0853
Fax: (309) 279-5211
Website:
Map and Directions
Authorized official contact:
Name: Calame, Jeremy PT, DPT
Phone: (309) 670-0853

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X

Profile Details

NPI number 1053927640
LBN Legal business name Moose Physical Therapy, Pllc
DBA Doing business as
Authorized official Calame, Jeremy PT, DPT
Entity Organization
Organization subpart 1 No
Enumeration date Sep 18th, 2020
Last updated Oct 31st, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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