Individual provider Active NPI

Priyanka Vinay Yeolekar

  • Physical Therapist
  • Rockford, IL
National Provider Identifier
1225520281
Registry record updated Sep 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.023000 Issued in IL
Practice address
3057 N Perryville Rd
Rockford, IL 61114-8016
Phone
(815) 637-1100
NPI assigned
Jun 5, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2023

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 070.023000 IL Primary

Addresses

Primary practice location

3057 N Perryville Rd
Rockford, IL 61114-8016

Mailing address

4920 E State St Ste 4
Rockford, IL 61108-2262
Phone (815) 637-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190517000788 IL Practitioner - Physical Therapist in Private Practice 6507109360 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Motivate Health IncGroup PAC ID 0042468357, 5 clinicians

Practice addresses (Care Compare)

4920 E State St
Suite 4
Rockford, IL 61108-2262
Phone (815) 637-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Motivate Health Inc CurrentSince Mar 26, 2019 Accepting new patients

Locations

3057 N Perryville Rd
Rockford, IL 61114
Phone (815) 637-1100

4920 E State St
Ste 4
Rockford, IL 61108
Phone (815) 601-6627

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": "1528156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1225520281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 E STATE ST STE 4",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082262",
            "telephone_number": "815-637-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3057 N PERRYVILLE RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611148016",
            "telephone_number": "815-637-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEOLEKAR",
        "first_name": "PRIYANKA",
        "middle_name": "VINAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.023000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.