Individual provider Active NPI

Auston J O'Neal, PTA

  • Physical Therapy Assistant
  • Normal, IL
National Provider Identifier
1164312922
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
160.010198 Issued in IL
Practice address
211 Landmark Dr Ste E3
Normal, IL 61761-6165
Phone
(309) 663-4900
NPI assigned
Jul 3, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 160.010198 IL Primary

Addresses

Primary practice location

211 Landmark Dr Ste E3
Normal, IL 61761-6165

Mailing address

127 Elm PL
Princeton, IL 61356-1319
Phone (815) 915-1729

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
160.010198ILMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Central Illinois Institute of Balance LLC CurrentSince Jul 9, 2025 Accepting new patients

Locations

211 Landmark Dr
Ste E3
Normal, IL 61761
Phone (309) 454-7337

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1751500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1164312922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 ELM PL",
            "city": "PRINCETON",
            "state": "IL",
            "postal_code": "613561319",
            "telephone_number": "815-915-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 LANDMARK DR STE E3",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616165",
            "telephone_number": "309-663-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'NEAL",
        "first_name": "AUSTON",
        "middle_name": "J",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-03",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.010198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Normal, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.