Active NPI
Norberto Valle Cruz, PT
- Physical Therapist
- Kewanee, IL
National Provider Identifier
1235649658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.022842
- Practice address
- 144 Junior Ave
Kewanee, IL 61443-2554 - Phone
- (309) 853-4429
- NPI assigned
- Oct 11, 2017
- Last updated
- Oct 11, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 | 070.022842 | IL | Primary |
Addresses
Primary practice location
144 Junior Ave
Kewanee, IL 61443-2554
Mailing address
440 W South St Apt E6
Kewanee, IL 61443-3682
Phone (309) 716-8496
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070.022842 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osf Healthcare System | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Osf Holy Family Clinics
- Rural Health Clinic/Center
- Monmouth, IL
- NPI 1679606073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507680000000",
"number": "1235649658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 W SOUTH ST APT E6",
"city": "KEWANEE",
"state": "IL",
"postal_code": "614433682",
"telephone_number": "309-716-8496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 JUNIOR AVE",
"city": "KEWANEE",
"state": "IL",
"postal_code": "614432554",
"telephone_number": "309-853-4429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "NORBERTO",
"middle_name": "VALLE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-10-11",
"last_updated": "2017-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.022842",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kewanee, IL
- County of Henry (Henry County Health Department)
- County of Henry
- County of Henry (First Choice Healthcare)
- County of Henry (First Choice Healthcare)
- Roger Garren Craddock, CCC-SLP
- D & D Services Inc (Preferred Pharmacy)
- D & D Services Inc (Preferred Home Health Care Midwest)
- Danielle Dailey
- Dirk Ashley Dawson, DPT
- Jon A Debord, PT MS ATC SCS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.