Lori Flanary, PTA
Individual provider Active NPI Physical Therapy Assistant · Eureka, IL
NPI 1104643956 · NPPES record last updated Sep 23, 2024
Key facts
- NPI
- 1104643956
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 160006824 (IL)
- Practice address
- 504 Dennis Dr
Eureka, IL 61530-1675 - Phone
- (815) 674-5904
- NPI assigned
- Sep 23, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160006824 | IL | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 160006824 | IL | Yes |
Addresses
Primary practice location
504 Dennis Dr
Eureka, IL 61530-1675
Mailing address
504 Dennis Dr
Eureka, IL 61530-1675
Phone (815) 674-5904
Other providers in Eureka, IL
- Eureka Community Hospital
- Eureka Family Dental P.C.
- Eureka Fire Protection District
- Alexandra Cessna Farmer
- Richard Fassola
- Shane C. Fogo
- Todd W. Gander
- GB Accessibility, LLC
- Nancy Lynn Girmscheid
- Rachel Marie Gonzales
All providers in Eureka, IL · Physical Therapy Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2024. 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.