Individual ProviderMatthew Dale VortmanPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address3132 Old Jacksonville Rd Ste 140, Springfield, IL 62704-7401(217) 862-0400(217) 491-2384PECOS EnrollmentBased on the most recent information from CMS, provider Matthew Dale Vortman 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 ID1730225285Provider TypeIndividualFull NameVortman, Matthew DaleTitleMr.CredentialP.T.GenderMaleSole ProprietorNoEnumeration Date1/30/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address3132 Old Jacksonville Rd Ste 140, Springfield, IL 62704-7401Phone(217) 862-0400FaxUnlisted FaxMailing LocationMailing Address2409 Boysenberry Ln, Apartment #4, Springfield, IL 62711-8276Phone(217) 491-2384FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted IssuerIllinois