Barbara Gerk
Individual provider Active NPI Physical Therapist · Crete, IL
NPI 1013925536 · NPPES record last updated Sep 29, 2010
Key facts
- NPI
- 1013925536
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070013073 (IL)
- Practice address
- 1397 Main St
Crete, IL 60417-2951 - Phone
- (708) 367-8050
- Fax
- (708) 367-8051
- NPI assigned
- Aug 3, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Independence Physical Therapy PC
Practice addresses (Care Compare)
1397 Main St
Crete, IL 60417-2951
Phone (708) 367-8050
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060203000294 | IL | Practitioner - Physical Therapist in Private Practice | 8729092267 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070013073 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independence Physical Therapy, PC | Physical Therapist | Current |
Accepting new patients |
| Functional Therapy & Rehabilitation, P.C. | Physical Therapist | Past |
Accepting new patients |
Locations
1397 Main St
#A
Crete, IL 60417
Phone (708) 367-8050
1397 Main St
Crete, IL 60417
Phone (708) 367-8050
1397 Main St
Ste A
Crete, IL 60417
Phone (708) 367-8050
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070013073 | IL | Yes |
Addresses
Primary practice location
1397 Main St
Crete, IL 60417-2951
Mailing address
1397 Main St
Crete, IL 60417-2951
Phone (708) 367-8050
Other providers in Crete, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 29, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.