CENTRAL ILLINOIS PHYSICAL THERAPY PROFESSIONALS, LTD
NPI 1124246939
Physical Therapist in Sullivan, IL
About Central Illinois Physical Therapy Professionals, Ltd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTRAL ILLINOIS PHYSICAL THERAPY PROFESSIONALS, LTD (NPI 1124246939) is a healthcare organization registered as a physical therapist in Sullivan, Illinois and active in the NPI registry since April 2007. The organization lists Richard Warren Kruckeberg, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Central Illinois Physical Therapy Professionals, Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Central Illinois Physical Therapy Professionals, Ltd, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Central Illinois Physical Therapy Professionals, Ltd's NPI number?
The NPI number for Central Illinois Physical Therapy Professionals, Ltd is 1124246939. It was assigned to this organization in the NPPES registry on April 24, 2007.
Where is Central Illinois Physical Therapy Professionals, Ltd located?
Central Illinois Physical Therapy Professionals, Ltd is located at 2 E Harrison St, Sullivan, IL 61951. The listed phone number is (217) 345-1245.
What is Central Illinois Physical Therapy Professionals, Ltd's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Central Illinois Physical Therapy Professionals, Ltd enrolled in Medicare?
Yes. Central Illinois Physical Therapy Professionals, Ltd is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Central Illinois Physical Therapy Professionals, Ltd?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Central Illinois Physical Therapy Professionals, Ltd. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Central Illinois Physical Therapy Professionals, Ltd was last updated on December 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.