NPIMap

Organization Active NPI

Solutions Physical Therapy LLC

Doing business as XCEL Physical Therapy

  • Physical Therapist
  • Hannibal, MO
National Provider Identifier
1033997754
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SOLUTIONS PHYSICAL THERAPY LLC
Doing business as
XCEL Physical Therapy
Practice address
6466 Interstate CT
Hannibal, MO 63401-6759
Phone
(573) 501-3360
NPI assigned
Sep 15, 2023
Last updated
Oct 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Ryley R Smith, DPTNPI 1588065270
Title
Owner
Phone
(217) 335-9235

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X NU
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

6466 Interstate CT
Hannibal, MO 63401-6759

Mailing address

804 State St Unit 3
Quincy, IL 62301-4968
Phone (217) 335-9235

Other names 1

  • XCEL Physical Therapy Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231129002226 MO Part B Supplier - Physical/Occupational Therapy Group in Private Practice 1658752852 Receives reassigned benefits from 4 practitioners
Practice locations: Hannibal, MO; Palmyra, MO

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Solutions Physical Therapy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

804 State St
Unit 3
Quincy, IL 62301
Phone (217) 335-9235

6466 Interstate Ct
Hannibal, MO 63401
Phone (513) 501-3360

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1033997754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 STATE ST UNIT 3",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014968",
            "telephone_number": "217-335-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6466 INTERSTATE CT",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634016759",
            "telephone_number": "573-501-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLUTIONS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-15",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "RYLEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-335-9235",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "XCEL Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "XCEL Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hannibal, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.