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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

COMMUNITY RESIDENCE, INC.

Active Organization

COMMUNITY RESIDENCE, INC. is a Physical Therapy Assistant organization located in MASCOUTAH, Illinois. NPI 1194619114 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · MASCOUTAH, IL

Registration Details

NPI Number
1194619114
Provider Type
Organization
NPI Issued
Jun 4, 2025 (1.201386391422 yrs)
Last Updated
Jun 4, 2025

Practice Information

Address
1227 WINDING OAKS LN
MASCOUTAH, IL, 622581635
Browse IL providers · Browse ZIP 62258
Phone
6185664100
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Organizations in MASCOUTAH, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.