Active NPI
Cynthia M Fleener, PT
- Physical Therapist
- East Moline, IL
National Provider Identifier
1114985751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 03446
- Practice address
- 4029 4TH Street a
East Moline, IL 61244-3442 - Phone
- (309) 737-2542
- NPI assigned
- May 3, 2006
- Last updated
- Sep 28, 2020
- 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 | 03446 | IA | Primary |
Addresses
Primary practice location
4029 4TH Street a
East Moline, IL 61244-3442
Mailing address
4029 4TH Street a
East Moline, IL 61244-3442
Phone (309) 737-2542
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070.016074 | Other | IL | ILLINOIS PT LICENSE NO. |
| 03446 | Other | IA | IOWA PT LICENSE NO. |
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 |
|---|---|---|---|
| 03446 | IA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rock Valley Physical Therapy Center | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Moline, IL
- NPI 1245373166
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601251200000",
"number": "1114985751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4029 4TH STREET A",
"city": "EAST MOLINE",
"state": "IL",
"postal_code": "612443442",
"telephone_number": "309-737-2542",
"fax_number": "309-743-2073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4029 4TH STREET A",
"city": "EAST MOLINE",
"state": "IL",
"postal_code": "612443442",
"telephone_number": "309-737-2542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEENER",
"first_name": "CYNTHIA",
"middle_name": "M",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-03",
"last_updated": "2020-09-28",
"certification_date": "2020-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IA",
"license": "03446",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS PT LICENSE NO.",
"identifier": "070.016074",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IOWA PT LICENSE NO.",
"identifier": "03446",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in East Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.