Carissa Elizabeth Slobodecki, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

370 N Main St
Canton, IL 61520-1826

Phone

(309) 822-5300

NPI assigned

Sep 15, 2021

Last updated

May 11, 2026By the provider in NPPES

Sex

Female

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 IA, IL2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rock Valley Physical Therapy CenterGroup PAC ID 9638087877, 232 clinicians

Physiotherapy Associates IncGroup PAC ID 3577470442, 1,432 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rock Valley Physical Therapy Center

  • Physical Therapist
  • Moline, IL
  • NPI 1245373166
  Medicare reassignment Care Compare group NPD
• Physiotherapy Associates Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Des Moines, IA
  • NPI 1679632038
  Medicare reassignment Care Compare group NPD
• Physiotherapy Associates Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Estero, FL
  • NPI 1720039902
  NPD
• Physiotherapy Associates, Inc.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Bondurant, IA
  • NPI 1730702275
  NPD
• Physiotherapy Associates, Inc.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Adel, IA
  • NPI 1982265559
  NPD
• Physiotherapy Associates Inc

  dba Select Physical Therapy

  • Rehabilitation Clinic/Center
  • Johnston, IA
  • NPI 1114957420

  Physical Therapist

  NPD (past)
• Rock Valley Physical Therapy Center

  • Occupational Therapist
  • Eldridge, IA
  • NPI 1881540490

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1144990755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 43RD AVE STE 100",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612658401",
            "telephone_number": "309-743-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 N MAIN ST",
            "city": "CANTON",
            "state": "IL",
            "postal_code": "615201826",
            "telephone_number": "309-822-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOBODECKI",
        "first_name": "CARISSA",
        "middle_name": "ELIZABETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Y. Shaw, M.D.
• Abby L. Sherwood, D.C.
• Tiffany Sigrist
• Kara Dean Simpson, LCSW
• McKenzie Skaggs
• Jimmie Marquette Smith, MD
• Spoon River Counseling & Wellness PLLC
• Spoon River Family Practice Center, Inc
• Spoon River Hearing Services Inc
• Stan Buczko RPH (Medicine Shoppe)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; 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.