Individual provider Active NPI

Marci Diane Aherin, PT

  • Physical Therapist
  • Springfield, IL
National Provider Identifier
1255528907
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070005915 Issued in IL
Practice address
355 W Carpenter St
Springfield, IL 62702-4922
Phone
(217) 528-7541
NPI assigned
Sep 26, 2007
Last updated
Jun 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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 070005915 IL Primary

Addresses

Primary practice location

355 W Carpenter St
Springfield, IL 62702-4922

Mailing address

PO Box 19248
Springfield, IL 62794-9248
Phone (217) 528-7541

Other practice location 1

2205 Wabash Ave
Suite 107
Springfield, IL 62704-5354
Phone (217) 698-1311

Other practice location 2

1301 S Koke Mill Rd
Springfield, IL 62711-9252
Phone (217) 547-9100

Other identifiers 1

IdentifierTypeStateIssuer
070005915OtherILLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080501000535 IL Practitioner - Physical Therapist in Private Practice 3577642560 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Springfield Clinic, LLPGroup PAC ID 0547166076, 678 clinicians

Practice addresses (Care Compare)

100 Marion Pkwy
Suite 149
Sherman, IL 62684-9673
Phone (217) 528-7541

350 W Carpenter St
Springfield, IL 62702-4902
Phone (217) 525-0210

775 Engineering Ave
Springfield, IL 62703-5909
Phone (217) 522-4300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Physical Therapy & Sports Medicine of Chatham LLC Physical Therapist CurrentSince Jun 16, 2017 Accepting new patients
Advance Physical Therapy & Sports Medicine of Chatham LLC CurrentSince Jun 16, 2017 Accepting new patients
Springfield Clinic, LLP CurrentSince May 15, 2025 Accepting new patients
Orthopaedic Center of Illinois Past Accepting new patients

Locations

1089 Jason Pl
Chatham, IL 62629
Phone (217) 483-5858

355 W Carpenter St
Ste A
Springfield, IL 62702
Phone 217528754121168

775 Engineering Ave
Springfield, IL 62703
Phone (217) 522-4300

160 Progress Rd
#111
Hannibal, MO 63401

Interoperability endpoints

  • Direct secure messaging: marci.aherin.1@28977.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1255528907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19248",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627949248",
            "telephone_number": "217-528-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 W CARPENTER ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627024922",
            "telephone_number": "217-528-7541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2205 Wabash Ave",
            "address_2": "Suite 107",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627045354",
            "country_code": "US",
            "telephone_number": "217-698-1311",
            "fax_number": "217-698-7504",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 S Koke Mill Rd",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627119252",
            "country_code": "US",
            "telephone_number": "217-547-9100",
            "fax_number": "217-547-9236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AHERIN",
        "first_name": "MARCI",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-26",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070005915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "070005915",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; 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.