OrganizationActive
Heritage Enterprises, Inc.
NPI 1780675488 · Physical Therapist · Bloomington, IL
Provider details
- NPI number
- 1780675488
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- David Underwood, Sr. Vp & Cfo(309) 828-4361
- License
- -61702-17 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
700 E Walnut St
Bloomington, IL 61701-3244
Phone: (309) 829-1268
Fax: (309) 829-3475
Approximate (ZIP-level) locationGet directions
Mailing address
115 W Jefferson St
Bloomington, IL 61701-3946
Other names (DBA / former)
- Doing business as
- Heritage Enterprises, Inc. Dba Green Tree Therapy
Registry dates
- Enumerated
- 2005-11-02
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.