Central Illinois Institute of Balance LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070-007930 Issued in IL

Legal business name

CENTRAL ILLINOIS INSTITUTE OF BALANCE LLC

Practice address

211 Landmark Drive Ste E3
Normal, IL 61761

Phone

(309) 663-4900

Fax

(309) 663-4197

NPI assigned

Jan 30, 2007

Last updated

May 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Poonam McAllister, PTNPI 1376692319

Title

PT/Owner

Phone

(309) 663-4900

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Poonam C McAllister, PT

  • Physical Therapist
  • Normal, IL
  • NPI 1376692319
  Medicare reassignment Care Compare group NPD Authorized official
• Elizabeth Omotayo Abe

  • Physical Therapist
  • Peoria, IL
  • NPI 1790220283
  Medicare reassignment Care Compare group NPD
• Loryn E Bruer, PT, DPT

  • Physical Therapist
  • Normal, IL
  • NPI 1205449279
  Medicare reassignment Care Compare group NPD
• Jennifer S. Ragusa, AU.D.

  • Audiologist
  • Peoria, IL
  • NPI 1871878249
  Medicare reassignment Care Compare group NPD
• Krista J. Sheppard, DPT

  • Physical Therapist
  • Bloomington, IL
  • NPI 1669471769
  Medicare reassignment Care Compare group NPD
• Mary Aubry, DPT

  • Physical Therapist
  • Normal, IL
  • NPI 1417619107
  Medicare reassignment NPD
• Bhawna Gupta, PT

  • Physical Therapist
  • Bloomington, IL
  • NPI 1396093977
  Medicare reassignment NPD
• Natalie M McKee, AU.D.

  • Audiologist
  • Bloomington, IL
  • NPI 1346338605
  Medicare reassignment NPD
• Kalpanaben M Patel, PT

  • Physical Therapist
  • Peoria, IL
  • NPI 1881306827
  Medicare reassignment NPD
• Cara Mae Cazier, DPT

  • Physical Therapist
  • Normal, IL
  • NPI 1093486177
  NPD
• Cody Harms, PTA

  • Physical Therapy Assistant
  • Normal, IL
  • NPI 1689564510
  NPD
• Auston J O'Neal, PTA

  • Physical Therapy Assistant
  • Normal, IL
  • NPI 1164312922
  NPD

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716940800000",
    "number": "1255478335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 LANDMARK DR STE E3",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616165",
            "telephone_number": "309-663-4900",
            "fax_number": "309-663-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 LANDMARK DRIVE STE E3",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "61761",
            "telephone_number": "309-663-4900",
            "fax_number": "309-663-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ILLINOIS INSTITUTE OF BALANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A",
        "authorized_official_last_name": "MCALLISTER",
        "authorized_official_first_name": "POONAM",
        "authorized_official_title_or_position": "PT/OWNER",
        "authorized_official_telephone_number": "309-663-4900",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-007930",
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147-000121",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eva Cervantes, BS, LAT, ATC
• Jodi L Chamness, CST
• Carmen D. Chase, M.D.
• Jay K. Chauhan, D.O.
• Children's Center for Dentistry

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.