Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Rehab Sports Medicine

Organization Physical Therapist · NPI 1235121393

Advanced Rehab Sports Medicine is a Physical Therapist in Monmouth, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005
Specialties on file
3

Practice location Address checks out

1201 E Broadway Ste C
Monmouth, IL 61462-1994
Phone: (309) 734-1103
Fax: (309) 734-2013
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (IL)
Occupational Therapist Taxonomy 225X00000X (IL)
Speech-Language Pathologist Taxonomy 235Z00000X (IL)

Record details

NPI number1235121393
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Oertwig — Director Of Finance · (309) 661-8823
Other names Advanced Rehab Sports Medicine
NPI enumeratedAugust 16, 2005
Last updated in NPPESNovember 3, 2022
Certification dateNovember 3, 2022
Mailing addressPo Box 5387, Bloomington, IL 61702-5387

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