Central Illinois Physical Therapy Professionals, Ltd
NPI 1124246939 · Physical Therapist · Sullivan, IL
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Central Illinois Physical Therapy Professionals, Ltd is a Physical Therapist organization in Sullivan, IL (NPI 1124246939).
Provider details
- NPI number
- 1124246939
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Richard Kruckeberg, Owner(217) 345-1245
- License
- 070002766 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2007-04-24
- Last updated
- 2025-12-10
- Certified
- 2025-12-10
Frequently asked questions
- What is Central Illinois Physical Therapy Professionals, Ltd's NPI number?
- Central Illinois Physical Therapy Professionals, Ltd's National Provider Identifier (NPI) is 1124246939, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Central Illinois Physical Therapy Professionals, Ltd?
- Central Illinois Physical Therapy Professionals, Ltd is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Central Illinois Physical Therapy Professionals, Ltd located?
- Central Illinois Physical Therapy Professionals, Ltd's practice location on file with NPPES is 2 E Harrison St, Sullivan, IL 61951-1905.
- What is Central Illinois Physical Therapy Professionals, Ltd's phone number?
- The practice phone number listed in the NPPES registry for Central Illinois Physical Therapy Professionals, Ltd is (217) 345-1245.
- Does Central Illinois Physical Therapy Professionals, Ltd accept Medicare?
- Central Illinois Physical Therapy Professionals, Ltd is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Central Illinois Physical Therapy Professionals, Ltd?
- The authorized official listed on Central Illinois Physical Therapy Professionals, Ltd's NPPES record is Richard Kruckeberg, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Central Illinois Physical Therapy Professionals, Ltd's NPI active?
- Yes — Central Illinois Physical Therapy Professionals, Ltd's NPI (1124246939) is active in the NPPES registry as of the last update on 2025-12-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.