Individual ProviderSteve HanleyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address3148 W Iles Ave, Springfield, IL 62704-7447(217) 891-7654PECOS EnrollmentBased on the most recent information from CMS, provider Steve Hanley 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 ID1184919698Provider TypeIndividualFull NameHanley, SteveCredentialDPTGenderMaleSole ProprietorNoEnumeration Date6/13/2011Last Updated8/7/2022Contact InformationPractice LocationPractice Address3148 W Iles Ave, Springfield, IL 62704-7447Phone(217) 891-7654FaxUnlisted FaxMailing LocationMailing Address228 Maggie Dr, Springfield, IL 62711-6362Phone(217) 891-7654FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense070018702IllinoisProvider IdentifiersIDDescriptionIssuerIDP00992367DescriptionOtherIssuerMCRRIllinois