Norberto Valle Cruz, PT
Individual provider Active NPI Physical Therapist · Kewanee, IL
NPI 1235649658 · NPPES record last updated Oct 11, 2017
Key facts
- NPI
- 1235649658
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070.022842 (IL)
- Practice address
- 144 Junior Ave
Kewanee, IL 61443-2554 - Phone
- (309) 853-4429
- NPI assigned
- Oct 11, 2017
- Sex
- Male
- Sole proprietor
- Yes
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)
- No
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 |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.022842 | IL | Yes |
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
Other providers in Kewanee, IL
- County of Henry
- County of Henry
- County of Henry
- County of Henry
- Roger Garren Craddock
- D & D Services Inc
- D & D Services Inc
- Danielle Dailey
- Dirk Ashley Dawson
- Jon A Debord
All providers in Kewanee, 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 Oct 11, 2017. 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.