OrganizationMontvale Physical Therapy, IncPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2951 Montvale Drive, Suite A, Springfield, IL 62704(217) 698-4055(217) 391-4662PECOS EnrollmentBased on the most recent information from CMS, provider Montvale Physical Therapy, Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1073636189Provider TypeOrganizationFull NameMontvale Physical Therapy, IncSubpartNoEnumeration Date4/6/2007Last Updated8/22/2020Contact InformationPractice LocationPractice Address2951 Montvale Drive, Suite A, Springfield, IL 62704Phone(217) 698-4055Fax(217) 698-4056Mailing LocationMailing Address2300 Hurstbourne Ln, Chatham, IL 62629-8677Phone(217) 391-4662FaxUnlisted FaxAuthorized OfficialNameAnderson, Dean Charles (President)Phone(217) 698-4055Provider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerIllinois