Valerie Creviston, DPT
Individual provider Active NPI Physical Therapist · Chatham, IL
NPI 1093856569 · NPPES record last updated Aug 5, 2014
Key facts
- NPI
- 1093856569
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070.014331 (IL)
- Practice address
- 101 E Plummer Blvd
Chatham, IL 62629-8047 - Phone
- (214) 483-8171
- Fax
- (217) 483-8173
- NPI assigned
- Feb 9, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.014331 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Health Ventures | Past | Accepting new patients | |
| Healthcare Network Associates | Past | Accepting new patients | |
| Memorial Expresscare, LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.014331 | IL | Yes |
Addresses
Primary practice location
101 E Plummer Blvd
Chatham, IL 62629-8047
Mailing address
101 E Plummer Blvd
Chatham, IL 62629-8047
Phone (217) 483-8171
Other providers in Chatham, IL
- Chatham Presbyterian Church
- Erin L Collinsworth
- Jean Corriveau
- Catherine Crabtree
- James T Crabtree
- Mary Sue Daily
- Alysha P Davis-Barth
- Emilee Davison
- Tara M. Dillon
- Colleen Mary Dinges
All providers in Chatham, 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 5, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.