Individual provider Active NPI

Carol Ann Veit, P.T

  • Physical Therapist
  • Rantoul, IL
National Provider Identifier
1215125240
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
54136 Issued in TX
Practice address
1614 Symington Rd
Rantoul, IL 61866-3532
Phone
(217) 892-9591
NPI assigned
Oct 3, 2007
Last updated
Oct 28, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 54136 TX Primary

Addresses

Primary practice location

1614 Symington Rd
Rantoul, IL 61866-3532

Mailing address

1614 Symington Rd
Rantoul, IL 61866-3532
Phone (217) 892-9591

Other identifiers 1

IdentifierTypeStateIssuer
062729101MedicaidTX

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
54136TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319760000000",
    "number": "1215125240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1614 SYMINGTON RD",
            "city": "RANTOUL",
            "state": "IL",
            "postal_code": "618663532",
            "telephone_number": "217-892-9591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 SYMINGTON RD",
            "city": "RANTOUL",
            "state": "IL",
            "postal_code": "618663532",
            "telephone_number": "217-892-9591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEIT",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "credential": "P.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-10-03",
        "last_updated": "2011-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "54136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "062729101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rantoul, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; 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.