Individual provider Active NPI

Marc A Peirce, PT

  • Physical Therapist
  • Silvis, IL
National Provider Identifier
1003826975
Registry record updated May 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-013532 Issued in IL
Practice address
902 Illini Dr
Silvis, IL 61282-4700
Phone
(309) 796-3450
Fax
(309) 796-3460
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070-013532 IL Primary

Addresses

Primary practice location

902 Illini Dr
Silvis, IL 61282-4700

Mailing address

850 43Rd Ave
Ste.100
Moline, IL 61265-8401
Phone (309) 743-2070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-013532ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Physical Therapy Center, LTD Physical Therapist PastSince Oct 1, 2009 Accepting new patients
Midwest Physical Therapy Ctr Past Accepting new patients
Fox Valley Pain Center Service Corporation Past Accepting new patients
Fahey Medical Center S.C. Past Accepting new patients
American Home Visiting Physicians Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337126400000",
    "number": "1003826975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 43RD AVE",
            "address_2": "STE.100",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612658401",
            "telephone_number": "309-743-2070",
            "fax_number": "309-743-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 ILLINI DR",
            "city": "SILVIS",
            "state": "IL",
            "postal_code": "612824700",
            "telephone_number": "309-796-3450",
            "fax_number": "309-796-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEIRCE",
        "first_name": "MARC",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2012-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-013532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silvis, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.