Active NPI
Valerie Ernst, PT
- Physical Therapist
- Jacksonville, IL
National Provider Identifier
1326233107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 70016000
- Practice address
- 901 W Morton Ave
S16A
Jacksonville, IL 62650-3287 - Phone
- (217) 588-2100
- Fax
- (217) 523-1489
- NPI assigned
- Sep 13, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 70016000 | IL | Primary |
Addresses
Primary practice location
901 W Morton Ave
S16A
Jacksonville, IL 62650-3287
Mailing address
PO Box 3428
Springfield, IL 62708-3428
Phone (800) 577-5368
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70016000 | Other | IL | STATE LICENSE |
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 |
|---|---|---|---|
| 70016000 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189641600000",
"number": "1326233107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3428",
"city": "SPRINGFIELD",
"state": "IL",
"postal_code": "627083428",
"telephone_number": "800-577-5368",
"fax_number": "217-757-2021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 W MORTON AVE",
"address_2": "S16A",
"city": "JACKSONVILLE",
"state": "IL",
"postal_code": "626503287",
"telephone_number": "217-588-2100",
"fax_number": "217-523-1489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERNST",
"first_name": "VALERIE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-09-13",
"last_updated": "2007-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "70016000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "70016000",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, IL
- Elm City Rehabilitation Center, Inc.
- Elm City Rehabilitation Center, Inc.
- Elm City Rehabilitation Center, Inc.
- Elm City Rehabilitation Center, Inc.
- Empowerme Rehabilitation Il Agency, LLC
- Ryan D. Farris, AUD
- Lori Ann Feezor-Ribble, O.D.
- Agnes A. Fenner
- Michael Niel Fenner, MD
- Lisa Marie Fernandes, LPN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.