Tricia Casford
Individual provider Active NPI Physical Therapy Assistant · Peru, IL
NPI 1114607496 · NPPES record last updated Jul 20, 2023
Key facts
- NPI
- 1114607496
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 160.003649 (IL)
- Practice address
- 1424 Midtown Rd
Peru, IL 61354-1271 - Phone
- (815) 538-1354
- NPI assigned
- Jul 20, 2023
- 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 |
|---|---|---|---|
| 160.003649 | IL | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 160.003649 | IL | Yes |
Addresses
Primary practice location
1424 Midtown Rd
Peru, IL 61354-1271
Mailing address
1424 Midtown Rd
Peru, IL 61354-1271
Other providers in Peru, IL
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- Jennifer Calhoun
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- Capstone Urology of Illinois SC
- Kayla Catherine Carlile
- Lee Michael Ceresa
- Chicago Hearing LLC
- Dale R Chilson
- Catherine A Christensen
- Keith Christensen
All providers in Peru, 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 Jul 20, 2023. 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.