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

Community Residence, Inc

Organization Physical Therapist · NPI 1194619114

Community Residence, Inc is a Physical Therapist in Mascoutah, Illinois. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1227 Winding Oaks Ln
Mascoutah, IL 62258-1635
Phone: (618) 566-4100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

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

Record details

NPI number1194619114
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elizabeth Papin — Medicare Specialist · (636) 222-0060
Other names Silver Creek Rehabilitation
NPI enumeratedJune 4, 2025
Last updated in NPPESJune 4, 2025
Certification dateJune 4, 2025
Mailing address1227 Winding Oaks Ln, Mascoutah, IL 62258-1635

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