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MED PLUS PHYSICAL MEDICINE LLC
NPI 1053606020
General Practice in Carlyle, IL

Active since June 17, 2011CLIA 14D1023892 · Waiver
18209 EULA MAE PKWY, CARLYLE, IL 62231(618) 594-3671(618) 594-8058 Get Directions Write a Review

NPPES record last updated: June 17, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Med Plus Physical Medicine Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MED PLUS PHYSICAL MEDICINE LLC (NPI 1053606020) is a healthcare organization registered as a general practice in Carlyle, Illinois and active in the NPI registry since June 2011. The organization holds a CLIA Waiver certificate valid through March 28, 2028 and lists Matthew W Bretz, Owner, as its authorized official.

NPPES Registry Identity

NPI1053606020
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMED PLUS PHYSICAL MEDICINE LLC
Location Address18209 EULA MAE PKWYCarlyle, IL 62231-6407
Mailing Address18209 Eula Mae PkwyCarlyle, IL 62231-6407 · (618) 594-3671 · Fax (618) 594-8058
Phone(618) 594-3671
Fax(618) 594-8058
Organization SubpartNo
Authorized OfficialMatthew W BretzOwner · (618) 594-3671
Enumeration DateJune 17, 2011
✔ NPI 1053606020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
18209 EULA MAE PKWY, Carlyle, IL 62231
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Other Identifiers 1

Other070016995IL · Illinois State License Number

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D1023892

Med-Plus Physical Medicine LLC · Carlyle, IL
Active · expires Mar 28, 2028
CLIA Number14D1023892
Laboratory TypePhysician Office
Certificate Effective DateMarch 29, 2026
Certificate Expiration DateMarch 28, 2028
Laboratory DirectorGregory Collins
Laboratory Phone(618) 594-3671
Laboratory LocationMed-Plus Physical Medicine LLC18209 Eula Mae Pkwy, Carlyle, IL 62231
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES G COLEMAN PA-C
Physician Assistant
18209 EULA MAE PKWY
CARLYLE, IL 62231
Clinton County (618) 594-3671
STACY L EILERMANN PT
Physical Therapist
18209 EULA MAE PKWY
CARLYLE, IL 62231
Clinton County (618) 594-3671
JEFFREY A. SCHATZ
Chiropractor
18209 EULA MAE PKWY
CARLYLE, IL 62231
Clinton County (618) 594-3671
VIJAYA SRIPATHY MD
General Practice
18209 EULA MAE PKWY
CARLYLE, IL 62231
Clinton County (812) 238-3800
DR. MATTHEW PALM DC
Chiropractor
18209 EULA MAE PKWY
CARLYLE, IL 62231
Clinton County (618) 594-3671
DR. BRIAN SCOTT WALSH D.C.
Chiropractor
18209 EULA MAE PKWY
CARLYLE, IL 62231
Clinton County (618) 594-3671
TYSON COFFEY
Physical Therapist
18209 EULA MAE PKWY
CARLYLE, IL 62231
Clinton County (618) 594-3671

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Med Plus Physical Medicine LLC's NPI number?

The NPI number for Med Plus Physical Medicine LLC is 1053606020. It was assigned to this organization in the NPPES registry on June 17, 2011.

Where is Med Plus Physical Medicine LLC located?

Med Plus Physical Medicine LLC is located at 18209 Eula Mae Pkwy, Carlyle, IL 62231. The listed phone number is (618) 594-3671.

What is Med Plus Physical Medicine LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Med Plus Physical Medicine LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1023892) is associated with this NPI, valid through March 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Med Plus Physical Medicine LLC was last updated on June 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.