Provider Demographics
NPI:1821553702
Name:IN-HOME PHYSICAL THERAPY
Entity Type:Organization
Organization Name:IN-HOME PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KISHORILAL
Authorized Official - Middle Name:
Authorized Official - Last Name:THOPE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:217-419-3747
Mailing Address - Street 1:501 TREFOIL
Mailing Address - Street 2:
Mailing Address - City:SAVOY
Mailing Address - State:IL
Mailing Address - Zip Code:61874-8511
Mailing Address - Country:US
Mailing Address - Phone:217-419-3747
Mailing Address - Fax:
Practice Address - Street 1:7324 N UNIVERSITY ST
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:IL
Practice Address - Zip Code:61614-1230
Practice Address - Country:US
Practice Address - Phone:217-821-2834
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-05
Last Update Date:2019-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty