Active NPI
Priyanka Vinay Yeolekar
- Physical Therapist
- Rockford, IL
National Provider Identifier
1225520281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.023000
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Motivate Health Inc | Current | 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.
-
- Physical Therapy Clinic/Center
- Rockford, IL
- NPI 1184988735
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.