Laura A Shimkus, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070017597 Issued in IL

Practice address

2900 Frank Scott Pkwy W Ste 928
Belleville, IL 62223-5000

Phone

(618) 234-9705

NPI assigned

Jan 28, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Rock Valley Physical Therapy Center

  • Physical Therapist
  • Moline, IL
  • NPI 1245373166
  NPD (past)
• Rock Valley Physical Therapy Center

  • Occupational Therapist
  • Eldridge, IA
  • NPI 1881540490

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646092800000",
    "number": "1104157320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 FRANK SCOTT PKWY W STE 928",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622235000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 FRANK SCOTT PKWY W STE 928",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622235000",
            "telephone_number": "618-234-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIMKUS",
        "first_name": "LAURA",
        "middle_name": "A",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-28",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070017597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE NUMBER",
            "identifier": "070017597",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mason Sheldon
• Jared Sheley, PHARM.D., BCPS
• Janice L Sheridan, LCSW
• Amy Shevlin, PT
• Jaehee L Shim, D.D.S.
• Nai Hua Shu, M.D.
• Grace Nicole Shutz
• Si Medical Weight Loss
• Craig A Sieron, OD
• Vivian Marie Sierra, PH.D. LMFT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.