OrganizationActive
Pediatric Physical Therapy of Central Illinois Ltd
NPI 1104959998 · Physical Therapist · Monticello, IL
Provider details
- NPI number
- 1104959998
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Susan Gibson, Physical Therapist Owner(217) 840-3915
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
123 W William Street
Monticello, IL 61856
Phone: (217) 840-3915
Street-level locationGet directions
Mailing address
Po Box 211
Monticello, IL 61856
Registry dates
- Enumerated
- 2007-03-13
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.