Central Illinois Physical Therapy Professionals, Ltd
Central Illinois Physical Therapy Professionals, Ltd is a healthcare organization registered as Physical Therapist in Sullivan, IL, holding Type 2 (organization) NPI 1124246939 since 2007. The authorized official on file is Richard Kruckeberg, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1124246939 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Central Illinois Physical Therapy Professionals, Ltd |
| Practice address | 2 E HARRISON ST, Sullivan, IL, 61951 |
| Phone | 2173451245 |
| Fax | 2173451253 |
| Enumeration date | 2007-04-24 |
| Last updated in NPPES | 2025-12-10 |
Authorized official
| Name | Richard Kruckeberg |
|---|---|
| Title | Owner |
| Phone | 2173451245 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 225100000X | Physical Therapist | Primary | 070002766 | IL |
Copy-ready billing details
Provider: Central Illinois Physical Therapy Professionals, Ltd NPI: 1124246939 Taxonomy: 225100000X (Physical Therapist) Address: 2 E HARRISON ST, Sullivan, IL, 61951
Verify this record
Cross-check NPI 1124246939 against the authoritative CMS record: view Central Illinois Physical Therapy Professionals, Ltd on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Central Illinois Physical Therapy Professionals, Ltd?
What is the NPI number for Central Illinois Physical Therapy Professionals, Ltd?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-12-10.