Individual provider Active NPI

Rachel Charlotte Corrigan, PHYSICAL THERAPIST

  • Physical Therapist
  • Normal, IL
National Provider Identifier
1104369230
Registry record updated Nov 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070022456 Issued in IL
Practice address
211 Landmark Dr Ste E3
Normal, IL 61761-6165
Phone
(309) 663-4900
Fax
(309) 663-4197
NPI assigned
Nov 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070022456 IL Primary

Addresses

Primary practice location

211 Landmark Dr Ste E3
Normal, IL 61761-6165

Mailing address

211 Landmark Dr Ste E3
Normal, IL 61761-6165
Phone (309) 663-4900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479686400000",
    "number": "1104369230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 LANDMARK DR STE E3",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616165",
            "telephone_number": "309-663-4900",
            "fax_number": "309-663-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 LANDMARK DR STE E3",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616165",
            "telephone_number": "309-663-4900",
            "fax_number": "309-663-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORRIGAN",
        "first_name": "RACHEL",
        "middle_name": "CHARLOTTE",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-21",
        "last_updated": "2016-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070022456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Normal, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2016; 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.