Amanda K Kocis, DPT
Individual provider Active NPI Physical Therapist · Kewanee, IL
NPI 1144530981 · NPPES record last updated Jun 14, 2012
Key facts
- NPI
- 1144530981
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070-014532 (IL)
- Practice address
- 1 Pine Tree CT
Kewanee, IL 61443-9600 - Phone
- (309) 540-9895
- NPI assigned
- Oct 14, 2010
- 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 |
|---|---|---|---|
| 070-014532 | IL | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070-014532 | IL | Yes |
Addresses
Primary practice location
1 Pine Tree CT
Kewanee, IL 61443-9600
Mailing address
1051 W South St
PO Box 747
Kewanee, IL 61443-8354
Phone (309) 852-7500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070-014532 | Other | IL | IL LICENSE NO |
Other providers in Kewanee, IL
- Kewanee Medical Clinic
- Kewanee Physical Therapy and Rehab Specialists
- Kewanee Physical Therapy and Rehab Specialists LLC
- Thomas U Kim
- Katherine Kinsella
- Tauni L Koning
- Kenneth Robert Krueger
- Zahra Lalwani Lasee
- James S Lindbom
- Kathleen Ann Lindquist
All providers in Kewanee, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 14, 2012. 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.