Douglas C Buelt, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070017691 Issued in IL

Practice address

620 Wabash Ave
Carthage, IL 62321-1444

Phone

(217) 357-9000

Fax

(217) 357-9013

NPI assigned

Mar 16, 2010

Last updated

Mar 16, 2010By the provider in NPPES

Sex

Male

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 IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advance Physical Therapy of Hancock County LLCGroup PAC ID 8729056783, 3 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.

• Advance Physical Therapy of Hancock County LLC

  • Physical Therapist
  • Carthage, IL
  • NPI 1831109826
  Medicare reassignment Care Compare group NPD
• Advance Physical Therapy & Sports Medicine of Adams County LLC

  • Physical Therapist
  • Quincy, IL
  • NPI 1104836105
  Medicare reassignment NPD
• Advance Physical Therapy & Sports Medicine of Adams County LLC

  • Physical Therapy Clinic/Center
  • Quincy, IL
  • NPI 1073882304
  NPD

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

{
    "created_epoch": "1268697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268697600000",
    "number": "1154645422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 WABASH AVE",
            "city": "CARTHAGE",
            "state": "IL",
            "postal_code": "623211444",
            "telephone_number": "217-357-9000",
            "fax_number": "217-357-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 WABASH AVE",
            "city": "CARTHAGE",
            "state": "IL",
            "postal_code": "623211444",
            "telephone_number": "217-357-9000",
            "fax_number": "217-357-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUELT",
        "first_name": "DOUGLAS",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-16",
        "last_updated": "2010-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070017691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Curtis Bisby, PHARMD
• Melissa K Brewer, FNP-BC
• Rodney Brumley, P.T.
• George Brummell, PMHNP-BC
• Lindsay Brummell, LPC
• Rosalinda Campos, M.D
• Krista M Carle, APN-BC
• Philip Ralph Caropreso, M.D.
• Carthage Chiropractic and Wellness Center, Inc.
• Carthage Cusd 338

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; 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.