Active NPI
Mary Claire Biles, PT, MDT
- Physical Therapist
- Bloomington, IL
National Provider Identifier
1003933342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070003102
- Practice address
- 1701 E College Ave
Bloomington, IL 61704-2101 - Phone
- (309) 664-3420
- Fax
- (309) 664-3422
- NPI assigned
- Mar 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070003102 | IL | Primary |
Addresses
Primary practice location
1701 E College Ave
Bloomington, IL 61704-2101
Mailing address
2200 E. Washington Street
Bloomington, IL 61701
Phone (309) 664-3420
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 203 | Other | IL | BLUE CROSS PROV ID |
| 7216 | Other | PERSONALCARE PROV ID | |
| 4117 | Other | IL | HAMP PROVIDER ID |
| 113326 | Other | HEALTHLINK PROV ID |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070003102 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Carle Foundation Hospital | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Urbana, IL
- NPI 1013071653
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347321600000",
"number": "1003933342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 E. WASHINGTON STREET",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "61701",
"telephone_number": "309-664-3420",
"fax_number": "309-664-3422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1701 E COLLEGE AVE",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617042101",
"telephone_number": "309-664-3420",
"fax_number": "309-664-3422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BILES",
"first_name": "MARY",
"middle_name": "CLAIRE",
"name_prefix": "Ms.",
"credential": "PT, MDT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2012-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070003102",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROV ID",
"identifier": "203",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONALCARE PROV ID",
"identifier": "7216",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HAMP PROVIDER ID",
"identifier": "4117",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK PROV ID",
"identifier": "113326",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.