Individual provider Active NPI

Robert Garrett, PTA

  • Physical Therapy Assistant
  • Normal, IL
National Provider Identifier
1184369746
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
Practice address
2200 Fort Jesse Rd Ste 230
Normal, IL 61761-6291
Phone
(309) 661-6260
NPI assigned
Apr 28, 2022
Last updated
Apr 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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 NU Primary

Addresses

Primary practice location

2200 Fort Jesse Rd Ste 230
Normal, IL 61761-6291

Mailing address

2200 Fort Jesse Rd Ste 230
Normal, IL 61761-6291
Phone (309) 661-6260

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Robert.M.Garrett@osfhealthcare.org

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

NPI Registry JSON

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1184369746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 FORT JESSE RD STE 230",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616291",
            "telephone_number": "309-661-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 FORT JESSE RD STE 230",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616291",
            "telephone_number": "309-661-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARRETT",
        "first_name": "ROBERT",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-28",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Robert.M.Garrett@osfhealthcare.org",
            "affiliation": "N",
            "address_1": "2200 Fort Jesse Rd Ste 230",
            "city": "Normal",
            "state": "IL",
            "country_code": "US",
            "postal_code": "617616291",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 28, 2022; 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.