Individual provider Active NPI

Rola Kersha, DPT

  • Physical Therapist
  • Willow Springs, IL
National Provider Identifier
1255083176
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.026264 Issued in IL
Practice address
8434 Corcoran Rd
Willow Springs, IL 60480-1666
Phone
(708) 467-0657
NPI assigned
Jan 21, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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 070.026264 IL Primary

Addresses

Primary practice location

8434 Corcoran Rd
Willow Springs, IL 60480-1666

Mailing address

3524 Stackinghay Dr
Naperville, IL 60564-8336
Phone (248) 496-9924

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

LicenseStateTypeSpecialty
070.026264ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
O'Connor Foundation Physical Therapist CurrentSince Jan 26, 2022 Accepting new patients
Physio Health PLLC Physical Therapist Past Accepting new patients

Locations

8434 Corcoran Rd
Willow Springs, IL 60480
Phone (708) 204-6706

Organizations & group practices 2

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": "1642723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1255083176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3524 STACKINGHAY DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605648336",
            "telephone_number": "248-496-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8434 CORCORAN RD",
            "city": "WILLOW SPRINGS",
            "state": "IL",
            "postal_code": "604801666",
            "telephone_number": "708-467-0657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSHA",
        "first_name": "ROLA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-21",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.026264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willow Springs, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.