Active NPI
Amethyst Deneal, PT, DPT
- Physical Therapist
- Salem, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070028003
- Practice address
- 1201 Ricker Rd
Salem, IL 62881-4263 - Phone
- (618) 548-3194
- NPI assigned
- Sep 11, 2023
- Last updated
- Feb 3, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070028003 | IL | Primary |
| Physical Therapist | 225100000X | 2305215820 | VA | |
| Physical Therapist | 225100000X | P22182 | NC | |
| Physical Therapist | 225100000X | 008989 | KY |
Addresses
Primary practice location
1201 Ricker Rd
Salem, IL 62881-4263
Mailing address
545 Womble Rd
Harrisburg, IL 62946-5457
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, IL, KY
Enrollment records 3
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 76.03 of 100
- Quality
- 74.47
- Improvement activities
- 40
- Cost
- 66.89
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.16 of 100
- Quality
- 85.78
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 75.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008989 | KY | MD | Pharmacist |
| 070028003 | IL | MD | Physical Therapist |
| P22182 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Select Physical Therapy Holdings Inc | Current | Accepting new patients | |
| Select Physical Therapy Holdings, Inc. | Physical Therapist | Current | Accepting new patients |
| Tidewater Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Apex Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Tidewater Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Apex Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Select Physical Therapy Holdings Inc | Physical Therapist | Current | Accepting new patients |
Locations
900 E Walnut St
Ste 1
Carbondale, IL 62901
Phone (618) 319-7540
1138 W McCord St
Centralia, IL 62801
Phone (618) 352-1310
1835 Solutions Ctr
Chicago, IL 60677
15 Apex Dr
Highland, IL 62249
Phone (618) 441-0482
280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088
814 Highway 36
Frenchburg, KY 40322
Phone (636) 393-0953
1232 Richmond Rd
Ste A
Irvine, KY 40336
Phone (606) 717-0255
272 Kroger Ctr
Morehead, KY 40351
Phone (606) 393-0304
513 Maysville Rd
Mt Sterling, KY 40353
Phone (859) 878-2890
156 W College Ave
Stanton, KY 40380
Phone (606) 393-6505
350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919
10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210
4125 Ironbound Rd
Ste 100
Williamsburg, VA 23188
Phone (757) 220-8383
Organizations & group practices 10
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 ApexNetwork Physical Therapy
- Physical Therapy Clinic/Center
- Frenchburg, KY
- NPI 1447795554
Physical Therapist
-
dba Pivot Physical Therapy of Virginia
- Physical Therapist
- Glen Allen, VA
- NPI 1457389595
-
dba NovaCare Rehabilitation
- Rehabilitation Clinic/Center
- Benton, IL
- NPI 1992352215
-
- Physical Therapy Clinic/Center
- Chicago, IL
- NPI 1942475488
Physical Therapist
-
- Physical Therapy Clinic/Center
- Centralia, IL
- NPI 1285378638
Physical Therapist
-
dba ApexNetwork Physical Therapy
- Physical Therapy Clinic/Center
- Centerton, AR
- NPI 1710732607
Physical Therapist
-
dba Athletico Physical Therapy
- Clinic/Center
- Lafayette, IN
- NPI 1053044867
Physical Therapist
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Ashland, VA
- NPI 1174591218
-
dba Pivot Physical Therapy of Virginia
- Physical Therapist
- Roanoke, VA
- NPI 1437664356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706918400000",
"number": "1295512614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 WOMBLE RD",
"city": "HARRISBURG",
"state": "IL",
"postal_code": "629465457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 RICKER RD",
"city": "SALEM",
"state": "IL",
"postal_code": "628814263",
"telephone_number": "618-548-3194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENEAL",
"first_name": "AMETHYST",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-11",
"last_updated": "2024-02-03",
"certification_date": "2024-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070028003",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305215820",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P22182",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "008989",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salem, IL
- Crossroads Physician Corp (Crossroads Family Medicine of Salem)
- Samuel Dalagan, P.T.
- Alexis Kate De Jager
- Deaconess Illinois Clinic, Inc (Deaconess Illinois Clinic)
- Deaconess Illinois Specialty Clinic, Inc. (Deaconess IL Specialty Ricker)
- Doctors Nursing & Rehab Center
- Doris Ann Osborne Els OD (Doris Ann Osborne OD)
- Anton John Dubrick, M.D.
- Catherine Durbin, APN
- Joseph Lee Easley, PNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2024; 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.