Anthony Testin, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070-020074 Issued in IL

Practice address

602 S Neil St Ste a
Champaign, IL 61820-5765

Phone

(217) 649-0504

Fax

(217) 253-8511

NPI assigned

Jun 18, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Impact Physical Therapy, LLC

  • Physical Therapist
  • Chicago, IL
  • NPI 1508622614
  NPD

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1104265784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 S NEIL ST",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618205475",
            "telephone_number": "630-399-1015",
            "fax_number": "708-469-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 S NEIL ST STE A",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618205765",
            "telephone_number": "217-649-0504",
            "fax_number": "217-253-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESTIN",
        "first_name": "ANTHONY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-18",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-020074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Charles Taylor, LCSW
• Timothy Neal Taylor, MS ED., LCPC
• Telos Health and Wellness Services, LLC
• Diojanae Terry
• Amber Nicole Tesman, RSA
• Jessica R Teymouri, AUD
• Snigdha Thakur
• Danish Thameem, MD
• Steven W. Thatcher, M.D.
• The Care Foundation Hospital

• Physical Therapist in Champaign, IL
• Providers in Champaign, 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 13, 2019; 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.