Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Advanced Rehab Sports Medicine

Organization Physical Therapist · NPI 1235121393

Advanced Rehab Sports Medicine provides Physical Therapist services 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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