Douglas C Buelt, P.T.
Individual provider Active NPI Physical Therapist · Carthage, IL
NPI 1154645422 · NPPES record last updated Mar 16, 2010
Key facts
- NPI
- 1154645422
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070017691 (IL)
- Practice address
- 620 Wabash Ave
Carthage, IL 62321-1444 - Phone
- (217) 357-9000
- Fax
- (217) 357-9013
- NPI assigned
- Mar 16, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- 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 LLC
Practice addresses (Care Compare)
1452 N County Rd 2050
Carthage, IL 62321-3551
Phone (217) 357-9000
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100826000050 | IL | Practitioner - Physical Therapist in Private Practice | 4082738174 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Physical Therapy & Sports Medicine of Adams County LLC | Current |
Accepting new patients | |
| Advance Physical Therapy of Hancock County LLC | Physical Therapist | Current |
Accepting new patients |
| Advance Physical Therapy & Sports Medicine of Adams County LLC | Physical Therapist | Current |
Accepting new patients |
Locations
1452 N County Road 2050 E
Carthage, IL 62321
Phone (217) 357-9000
1452 N County Road 2050 E
Ste 100
Carthage, IL 62321
620 Wabash Ave
Carthage, IL 62321
Phone (217) 257-9000
3032 Broadway St
Quincy, IL 62301
Phone (217) 617-3412
4800 Maine St
Ste 48100
Quincy, IL 62305
Phone (218) 316-2937
160 Progress Rd
#111
Hannibal, MO 63401
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070017691 | IL | Yes |
Addresses
Primary practice location
620 Wabash Ave
Carthage, IL 62321-1444
Mailing address
620 Wabash Ave
Carthage, IL 62321-1444
Phone (217) 357-9000
Other providers in Carthage, IL
- Curtis Bisby
- Melissa K Brewer
- Rodney Brumley
- George Brummell
- Lindsay Brummell
- Rosalinda Campos
- Krista M Carle
- Philip Ralph Caropreso
- Carthage Chiropractic and Wellness Center, Inc.
- Carthage Cusd 338
All providers in Carthage, 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 Mar 16, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.