Community Residence, Inc.

Physical Therapist · Mascoutah, IL

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At a glance

1227 Winding Oaks Ln, Mascoutah, IL 62258-1635

NPPES record updated Jun 4, 2025. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

1227 Winding Oaks Ln
Mascoutah, IL 62258-1635
Professional details: NPI, taxonomy & registry record
NPI1194619114
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Registry details

Primary taxonomy
Physical Therapist
Taxonomy code
225100000X
Enumeration date
Jun 4, 2025
Record updated
Jun 4, 2025
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Physical Therapist

225100000X · Primary

Occupational Therapist

225X00000X

Speech-Language Pathologist

235Z00000X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

1227 Winding Oaks Ln
Mascoutah, IL 62258-1635
Phone
(618) 566-4100
Mailing address
1227 WINDING OAKS LN

MASCOUTAH, IL 622581635
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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