Individual provider Active NPI

Carrie Ann Lithgow, PT

  • Physical Therapist
  • Gibson City, IL
National Provider Identifier
1073738738
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1073738738 Issued in IL
Practice address
109 N. Sangamon Ave
Gibson City, IL 60936
Phone
(217) 784-8033
Fax
(217) 784-8077
NPI assigned
Apr 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070014406 IL
Physical Therapist 225100000X 1073738738 IL Primary

Addresses

Primary practice location

109 N. Sangamon Ave
Gibson City, IL 60936

Mailing address

109 N. Sangamon Ave
Gibson City, IL 60936
Phone (217) 784-8033

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100419000117 IL Practitioner - Physical Therapist in Private Practice 8921135203 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7108 Marine Rd
Edwardsville, IL 62025-4282
Phone (618) 706-9759

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070014406ILMDPhysical Therapist
1073738738ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation Illinois, LLC Physical Therapist CurrentSince Mar 1, 2023 Accepting new patients
Empowerme Wellness Kansas City, LLC Physical Therapist CurrentSince Mar 1, 2023 Accepting new patients
Empowerme Wellness Kansas City, LLC CurrentSince Mar 1, 2023 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Physical Therapist CurrentSince Mar 1, 2023 Accepting new patients
R.a. Physical Therapy, PC Physical Therapist Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients

Locations

1021 W E St
Belleville, IL 62220
Phone (618) 233-2095

7108 Marine Rd
Edwardsville, IL 62025
Phone (618) 706-9759

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266969600000",
    "number": "1073738738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 N. SANGAMON AVE",
            "city": "GIBSON CITY",
            "state": "IL",
            "postal_code": "60936",
            "telephone_number": "217-784-8033",
            "fax_number": "217-784-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 N. SANGAMON AVE",
            "city": "GIBSON CITY",
            "state": "IL",
            "postal_code": "60936",
            "telephone_number": "217-784-8033",
            "fax_number": "217-784-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITHGOW",
        "first_name": "CARRIE",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2010-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070014406",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "1073738738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibson City, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.