Sloan Jane Sloan
Individual provider Active NPI Physical Therapy Assistant · Moweaqua, IL
NPI 1235848110 · NPPES record last updated Nov 18, 2022
Key facts
- NPI
- 1235848110
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 160008823 (IL)
- Practice address
- 4 Sunnyside Est
Moweaqua, IL 62550-9443 - Phone
- (217) 454-4050
- NPI assigned
- Nov 18, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 160008823 | IL | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 160008823 | IL | Yes |
Addresses
Primary practice location
4 Sunnyside Est
Moweaqua, IL 62550-9443
Mailing address
4 Sunnyside Est
Moweaqua, IL 62550-9443
Phone (217) 454-4050
Other providers in Moweaqua, IL
- Moweaqua Family Practice Center, LTD
- Moweaqua Pharmacy PC
- Moweaqua Rehabilitation & Health Care Center, LLC
- Holly Olivio
- Larry Don Page
- Springfield Clinic LLP
- Springfield Clinic LLP
All providers in Moweaqua, IL · Physical Therapy Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2022. 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.