Linda G Carley, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1405 Reynolds St
Pontiac, IL 61764-0468

Phone

(815) 844-2464

Fax

(815) 842-1024

NPI assigned

Jul 12, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Myofascial Release Therapy, LLC

  • Physical Therapist
  • Pontiac, IL
  • NPI 1427078369
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255356465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 W REYNOLDS ST",
            "address_2": "PO BOX 468",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617640468",
            "telephone_number": "815-844-2464",
            "fax_number": "815-842-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 REYNOLDS ST",
            "city": "PONTIAC",
            "state": "IL",
            "postal_code": "617640468",
            "telephone_number": "815-844-2464",
            "fax_number": "815-842-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLEY",
        "first_name": "LINDA",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Nicole Bursott, APN
• Daniel Butterbach, M.D.
• Crystal Ann Cargill, APN, NP-BC
• James A Carley, DDS
• Kelsey R Carley, DPT
• Ryan Jason Carley, D.M.D.
• Elaine Marie Carroll, MD
• Caitlin Chagoya, MHP
• Champion Fitness Inc
• William Lee Chang II

• Physical Therapist in Pontiac, IL
• Providers in Pontiac, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.