Rock Valley Physical Therapy Center

LBN: Rock Valley Physical Therapy Center
Rock Valley Physical Therapy Center is an health care organization with primary practice located at 4439 Avenue Of The Cities , Moline IL 61265-4549. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Rock Valley Physical Therapy Center can be contacted via phone (309) 743-0106, or through Boldt, Randy E via phone (309) 743-2070.

Contact Information

Primary practice address
4439 Avenue Of The Cities Moline IL 61265-4549
Phone: (309) 743-0106
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Boldt, Randy E Physical Therapist (PT)
Phone: (309) 743-2070

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X Illinois

Profile Details

NPI number 1104056548
LBN Legal business name Rock Valley Physical Therapy Center
DBA Doing business as
Authorized official Boldt, Randy E Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2009
Last updated Jan 25th, 2011 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1104056548 NPPES
Illinois Other 555650 GROUP BILLING # FOR O.T,
Illinois Other 555640 GROUP BILLING # FOR O.T,

Popular Providers