Active NPI
Tim Ondrey
- Physical Therapy Assistant
- Onarga, IL
National Provider Identifier
1285294272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 160007548
- Practice address
- 912 W Seminary Ave
Onarga, IL 60955-1401 - Phone
- (815) 268-4840
- Fax
- (815) 268-4845
- NPI assigned
- Jun 20, 2019
- Last updated
- Jun 20, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 160007548 | IL | Primary |
Addresses
Primary practice location
912 W Seminary Ave
Onarga, IL 60955-1401
Mailing address
10 Doctors Park
Gibson City, IL 60936-2004
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
| License | State | Type | Specialty |
|---|---|---|---|
| 160007548 | IL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gibson Community Hospital Association | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Gibson Area Hospital and Health Services
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560988800000",
"number": "1285294272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 DOCTORS PARK",
"city": "GIBSON CITY",
"state": "IL",
"postal_code": "609362004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "912 W SEMINARY AVE",
"city": "ONARGA",
"state": "IL",
"postal_code": "609551401",
"telephone_number": "815-268-4840",
"fax_number": "815-268-4845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONDREY",
"first_name": "TIM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-20",
"last_updated": "2019-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IL",
"license": "160007548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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- Nexus Family Healing (Nexus-DBA Onarga Academy)
- Nexus Family Healing (Nexus DBA Onarga Academy)
- Nexus Family Healing (Onarga Academy)
- Ashley Peters, MBA, RD, LDN
- Karen M Robertie, LCPC
- The Pines Nutrition Therapy LLC
- Olivia Ann Walder, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.