IndividualActive
Angela Summy, PTA
NPI 1104188481 · Physical Therapy Assistant · Macomb, IL
Provider details
- NPI number
- 1104188481
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 160005854 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
130 S Lafayette St
Suite a
Macomb, IL 61455-2289
Phone: (309) 836-2500
Approximate (ZIP-level) locationGet directions
Mailing address
135 N Williamsburg Dr
Bloomington, IL 61704-3528
Registry dates
- Enumerated
- 2012-06-12
- Last updated
- 2012-06-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.