Active NPI
Dana Michelle Joiner, P.T.
- Physical Therapist
- Rockford, IL
National Provider Identifier
1114125960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070007931
- Practice address
- 1160 N Mulford Rd
Rockford, IL 61107-3883 - Phone
- (815) 395-1452
- Fax
- (815) 227-1501
- NPI assigned
- Jul 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070007931 | IL | Primary |
Addresses
Primary practice location
1160 N Mulford Rd
Rockford, IL 61107-3883
Mailing address
6315 Park Hills Dr
Loves Park, IL 61111-8627
Phone (815) 654-7924
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070007931 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352851200000",
"number": "1114125960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6315 PARK HILLS DR",
"city": "LOVES PARK",
"state": "IL",
"postal_code": "611118627",
"telephone_number": "815-654-7924",
"fax_number": "815-395-1382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1160 N MULFORD RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611073883",
"telephone_number": "815-395-1452",
"fax_number": "815-227-1501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOINER",
"first_name": "DANA",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-03",
"last_updated": "2012-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070007931",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.