Rodney Brumley, P.T.
Individual provider Active NPI Physical Therapist · Carthage, IL
NPI 1215947262 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1215947262
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 620 Wabash Ave
Carthage, IL 62321-1444 - Phone
- (217) 359-9000
- Fax
- (217) 357-9013
- NPI assigned
- Aug 9, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-010826 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advance Physical Therapy of Hancock County LLC | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | IL | Yes |
Addresses
Primary practice location
620 Wabash Ave
Carthage, IL 62321-1444
Mailing address
620 Wabash Ave
Carthage, IL 62321-1444
Phone (217) 359-9000
Other providers in Carthage, IL
- Kolina Arlene Baucom
- Tracey Lynn-Severt Behymer
- Stephen K Bergman
- Curtis Bisby
- Melissa K Brewer
- George Brummell
- Lindsay Brummell
- Douglas C Buelt
- Rosalinda Campos
- Krista M Carle
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 Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.