Roscoe Physical Therapy, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ROSCOE PHYSICAL THERAPY, INC

Practice address

5003 Hononegah Rd
Roscoe, IL 61073-8682

Phone

(815) 623-9700

Fax

(815) 623-9722

NPI assigned

May 18, 2007

Organization subpart

No

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

Authorized official

Name

Mr. James William McKinley, P.T.NPI 1124246053

Title

President

Phone

(815) 623-9700

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James William McKinley, P.T.

  • Physical Therapist
  • Rockford, IL
  • NPI 1124246053
  NPD (past) Authorized official

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043428832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5003 HONONEGAH RD",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610738682",
            "telephone_number": "815-623-9700",
            "fax_number": "815-623-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5003 HONONEGAH RD",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610738682",
            "telephone_number": "815-623-9700",
            "fax_number": "815-623-9722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSCOE PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCKINLEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-623-9700",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "10132155",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chris J Rini, D.C.
• Natalie Jewel Rolling-Edlebeck
• Alfred P Rosche III, M.D.
• Roscoe Family Dental Center, P.C.
• Roscoe Occupational Health Services, Inc.
• Andrew Ryall, LCPC
• Rebecca Rydell, RN
• Stacy Kristen Schroepfer, MS, LPC, LCPC
• Joan M Schutz
• Steven Schutz, M.A., M.S.ED.

• Physical Therapist in Roscoe, IL
• Providers in Roscoe, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.