Kenneth J Whittaker, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

3032 Broadway St
Quincy, IL 62301-3708

Phone

(217) 222-6800

Fax

(217) 222-0037

NPI assigned

Aug 9, 2006

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

Enrolled in IL, MO2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Solutions Physical Therapy LLCGroup PAC ID 1658752852, 6 clinicians

Practice addresses (Care Compare)

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.

• Solutions Physical Therapy LLC

  • Physical Therapist
  • Hannibal, MO
  • NPI 1033997754
  Medicare reassignment Care Compare group NPD
• Advance Physical Therapy & Sports Medicine of Adams County LLC

  • Physical Therapist
  • Quincy, IL
  • NPI 1104836105
  Medicare reassignment NPD
• Solutions Physical Therapy LLC

  • Physical Therapist
  • Quincy, IL
  • NPI 1457025942
  Medicare reassignment NPD
• Advance Physical Therapy & Sports Medicine of Adams County LLC

  • Physical Therapy Clinic/Center
  • Quincy, IL
  • NPI 1073882304
  NPD
• Advance Physical Therapy & Sports Medicine LLC

  • Physical Therapist
  • Quincy, IL
  • NPI 1972513968
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1104836188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3032 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013708",
            "telephone_number": "217-222-6800",
            "fax_number": "217-222-0037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3032 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013708",
            "telephone_number": "217-222-6800",
            "fax_number": "217-222-0037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITTAKER",
        "first_name": "KENNETH",
        "middle_name": "J",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna L White, M.D.
• Timothy A White, MSW
• Shannon Nicole Whitehead, RN
• Whittaker Physical Therapy Works, P.C.
• Julia Lynn Whittaker, P.T.
• Sara Whittaker, BS MHP
• Jennifer Ann Wiechert, QMHP
• Mark J Wiegand, D.C.
• Wiemelt Therapy Services
• Amber Wiemelt, LCSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.