Kerri Dockins-Hall, PT
Individual provider Active NPI Physical Therapist · Waterloo, IL
NPI 1053700229 · NPPES record last updated Aug 15, 2019
Key facts
- NPI
- 1053700229
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070021161 (IL)
- Practice address
- 509 Hamacher St
Ste 101
Waterloo, IL 62298-1592 - Phone
- (618) 939-5555
- NPI assigned
- Jan 12, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Athletico LTD
Practice addresses (Care Compare)
1050 Admiral Weinel Blvd
Columbia, IL 62236-1988
Phone (618) 693-3100
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150203001222 | IL | Practitioner - Physical Therapist in Private Practice | 4284959859 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| FLS Physical Therapy Associates PC | Physical Therapist | Current |
Accepting new patients |
| Athletico LTD | Physical Therapist | Current |
Accepting new patients |
| Athletic and Therapeutic Institute of Naperville, LLC | Current |
Accepting new patients | |
| Athletic and Therapeutic Institute of Bourbonnais, LLC | Physical Therapist | Current |
Accepting new patients |
| Athletico LTD | Physical Therapist | Current |
Accepting new patients |
| Athletic and Therapeutic Institute of Naperville LLC | Physical Therapist | Current |
Accepting new patients |
| Athletic and Therapeutic Institute of Bourbonnais, LLC | Physical Therapist | Current | Accepting new patients |
| Athletic & Therapeutic Institute of Bourbonnais, LLC | Physical Therapist | Current |
Accepting new patients |
Locations
790 Remington Blvd
Bolingbrook, IL 60440
1275 N Convent St
Ste 3
Bourbonnais, IL 60914
Phone (815) 936-1855
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
1050 Admiral Weinel Blvd
Columbia, IL 62236
Phone (618) 693-3100
1047 Century Dr
Edwardsville, IL 62025
Phone (618) 307-3434
280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219
327 W Washington St
Millstadt, IL 62260
Phone (618) 476-9444
722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088
509 Hamacher St
Ste 101
Waterloo, IL 62298
Phone (618) 939-5555
600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250
109 W Geneva Rd
Wheaton, IL 60187
Phone (630) 784-3251
0S050 Winfield Rd
Ste 120
Winfield, IL 60190
Phone (630) 653-4743
4418 Telegraph Rd
Saint Louis, MO 63129
Phone (314) 894-2222
Interoperability endpoints
- kerri.dockinshall.p2@direct.athleticoltd.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070021161 | IL | Yes |
Addresses
Primary practice location
509 Hamacher St
Ste 101
Waterloo, IL 62298-1592
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Other names
- Kerri Dockins
Other providers in Waterloo, IL
- Deaconess Illinois Specialty Clinic, Inc.
- Lynn M Dell
- Kelsey Deluca
- Dirk Alan Denning
- Kim Dieckmann
- Elizabeth Doerr
- Julie Anna Downs
- Dr Darryll L Beard DMD LTD
- Dr John F Blattner & Dr Dwight D Heberer PC
- Dr John F Blattner & Dr. Dwight D Heberer PC
All providers in Waterloo, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2019. 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.