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

Central Illinois Physical Therapy Professionals, Ltd

Organization Physical Therapist · NPI 1124246939

Central Illinois Physical Therapy Professionals, Ltd is a Physical Therapist in Sullivan, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2 E Harrison St
Sullivan, IL 61951-1905
Phone: (217) 345-1245
Fax: (217) 345-1253
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070002766 (IL)

Record details

NPI number1124246939
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Kruckeberg — Owner · (217) 345-1245
NPI enumeratedApril 24, 2007
Last updated in NPPESDecember 10, 2025
Certification dateDecember 10, 2025
Mailing addressPo Box 101, Sullivan, IL 61951-0101

Other providers in Sullivan