OrganizationActive
Family Physical Therapy, LLC
NPI 1174959340 · Physical Therapist · Port Byron, IL
Provider details
- NPI number
- 1174959340
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Robert Johannsen, Physical Therapist/Owner(309) 523-2949
- License
- 070006904 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
103 N Main St
Port Byron, IL 61275-7705
Phone: (309) 523-2949
Street-level locationGet directions
Mailing address
P.o. Box 125
Port Byron, IL 61275-7703
Registry dates
- Enumerated
- 2013-09-19
- Last updated
- 2013-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.