Individual provider Active NPI

Brian McKinney, MPT

  • Physical Therapist
  • Quincy, IL
National Provider Identifier
1285813014
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
5 State and 8TH PLZ
Quincy, IL 62301-4960
Phone
(217) 224-1750
Fax
(217) 224-0403
NPI assigned
Oct 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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 IL Primary

Addresses

Primary practice location

5 State and 8TH PLZ
Quincy, IL 62301-4960

Mailing address

5 State and 8TH PLZ
Quincy, IL 62301-4960
Phone (217) 224-1750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051215000538 MO Practitioner - Physical Therapist in Private Practice 8325069529 Reassigns benefits to 2 organizations
I20161116001350 IL Practitioner - Physical Therapist in Private Practice 8325069529 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Solutions Physical Therapy LLCGroup PAC ID 1658752852, 6 clinicians

Practice addresses (Care Compare)

804 State St
Unit 3
Quincy, IL 62301-4968
Phone (217) 335-9235

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-014853ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic & Therapeutic Institute of Bourbonnais, LLC Physical Therapist CurrentSince Feb 4, 2019 Accepting new patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Physical Therapist Current Accepting new patients
Solutions Physical Therapy LLC Physical Therapist CurrentSince Jul 2, 2022 Accepting new patients
Solutions Physical Therapy LLC Physical Therapist CurrentSince Jul 2, 2022 Accepting new patients
Advance Hannibal Regional Hospital LLC Physical Therapist CurrentSince Mar 17, 2021 Accepting new patients
Advance Hannibal Regional Hospital, LLC Physical Therapist CurrentSince Mar 17, 2021 Accepting new patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Physical Therapist CurrentSince Feb 4, 2019 Accepting new patients
First Choice Physical Therapy of Hannibal, LLC Physical Therapist PastSince Jul 24, 2022 Accepting new patients
Advance PT Therapy of Hannibal LLC Physical Therapist PastSince Aug 8, 2012 Accepting new patients
First Choice Physical Therapy Physical Therapist Past Accepting new patients

Locations

383 W Army Trail Rd
Ste 100
Bloomingdale, IL 60108
Phone (630) 924-0367

790 Remington Blvd
Bolingbrook, IL 60440

1275 N Convent St
Ste 3
Bourbonnais, IL 60914
Phone (815) 936-1855

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2081 Ridge Rd
Ste 101
Minooka, IL 60447
Phone (815) 467-1612

804 State St
Unit 3
Quincy, IL 62301
Phone (217) 335-9235

160 Progress Rd
#111
Hannibal, MO 63401

188 Medical Dr
#A
Hannibal, MO 63401
Phone (573) 406-0576

6466 Interstate Ct
Hannibal, MO 63401
Phone (513) 501-3360

Organizations & group practices 11

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": "1193616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1285813014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 STATE AND 8TH PLZ",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014960",
            "telephone_number": "217-224-1750",
            "fax_number": "217-224-0403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 STATE AND 8TH PLZ",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623014960",
            "telephone_number": "217-224-1750",
            "fax_number": "217-224-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNEY",
        "first_name": "BRIAN",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.