GRANITE CITY PHYSICAL THERAPY LLC – Physical Therapy Clinic/Center, NPI 1649664277

GRANITE CITY PHYSICAL THERAPY LLC is a healthcare provider. based in Glen carbon, Illinois. specializing in Physical Therapy Clinic/Center. The organization holds a License No. 070018656 (IL). The NPI Number for GRANITE CITY PHYSICAL THERAPY LLC is 1649664277

Main info

Organization
Name
GRANITE CITY PHYSICAL THERAPY LLC
NPI
1649664277
Phone
(317) 691-6262
Address
3008 HUNTSVILLE DR
Authorized Official
JESSE MOORE OWNER DPT
Enumeration Date
20 March 2015
Last Update Date
20 March 2015
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:11State licenses:1Digital endpointsOther names

Provider Addresses for GRANITE CITY PHYSICAL THERAPY LLC

  • 3008 HUNTSVILLE DR

    GLEN CARBON, IL 620343046

    Phone: (317) 691-6262

    Type: Mailing

  • 400 A ST STE D

    GRANITE CITY, IL 620401891

    Phone: (618) 452-8561

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62034)

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Reviews

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Frequently asked questions

What number should I use to identify GRANITE CITY PHYSICAL THERAPY LLC for billing?
Administrative and clinical systems typically use NPI 1649664277 for GRANITE CITY PHYSICAL THERAPY LLC.
Is GRANITE CITY PHYSICAL THERAPY LLC's NPI status active today?
Active status means GRANITE CITY PHYSICAL THERAPY LLC's NPI record is not deactivated in the public file.
Which specialty label fits GRANITE CITY PHYSICAL THERAPY LLC?
NPPES ties GRANITE CITY PHYSICAL THERAPY LLC to Physical Therapy Clinic/Center in the taxonomy section. Clinical services aligned with this taxonomy classification.
What geographic area is tied to GRANITE CITY PHYSICAL THERAPY LLC?
GRANITE CITY PHYSICAL THERAPY LLC is associated with Glen Carbon, Illinois in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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