Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path

Organization Physical Therapist · NPI 1376917187

Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path is a Physical Therapist in Clinton, Illinois. Registered with an NPI since 2015.

In the registry since
2015
Specialties on file
4
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Practice location Address checks out

204 E Washington St
Clinton, IL 61727-1715
Phone: (217) 570-0225
Fax: (217) 570-0227
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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
Community/Behavioral Health Agency Taxonomy 251S00000X

Record details

NPI number1376917187
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIvyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC
Authorized official Ashley Griffiths — Sr. Director Of Provider Relations · (914) 294-4050
Other names Axes Physical Therapy; Ivyrehab Physical Therapy, Pllc; Ivyrehab Physical Therapy, Pllc; Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, Pllc
NPI enumeratedNovember 17, 2015
Last updated in NPPESMay 7, 2026
Certification dateMay 7, 2026
Mailing addressPo Box 416501, Boston, MA 02241-7594

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