Martha E. Blakeley, PT
Individual provider Active NPI Physical Therapist · Mount Sterling, IL
NPI 1326239385 · NPPES record last updated Jan 20, 2022
Key facts
- NPI
- 1326239385
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070012907 (IL)
- Practice address
- 216 Pittsfield Rd
Mount Sterling, IL 62353 - Phone
- (217) 773-3963
- Fax
- (217) 773-3426
- NPI assigned
- Aug 6, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 19
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Quincy Physicians and Surgeons Clinic, PLLC
Practice addresses (Care Compare)
1025 Maine St
Quincy, IL 62301-4038
Phone (217) 222-6550
216 Pittsfield Rd
Mt Sterling, IL 62353-1626
Phone (217) 773-3963
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070830000397 | IL | Practitioner - Physical Therapist in Private Practice | 1456444868 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quincy Physicians & Surgeons Clinic, PLLC | Current | Accepting new patients | |
| Quincy Physicians & Surgeons Clinic, PLLC | Current |
Accepting new patients | |
| Quincy Physicians & Surgeons Clinic, PLLC | Current |
Accepting new patients | |
| Quincy Physicians & Surgeons Clinic, PLLC | Past | Accepting new patients |
Locations
521 E Main St
Mt Sterling, IL 62353
Phone (217) 222-5800
109 Buckhorn Rd
Mt Sterling, IL 62353
Phone (217) 773-3963
1025 Maine St
Quincy, IL 62301
Phone 21722265503163
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070012907 | IL | Yes |
Addresses
Primary practice location
216 Pittsfield Rd
Mount Sterling, IL 62353
Mailing address
521 E Main St
Mt Sterling, IL 62353-1378
Phone (217) 773-3963
Other practice location 1
109 Buckhorn Rd
MT Sterling, IL 62353-1403
Phone (217) 773-3963
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070012907 | Other | ID | IDFPR |
Other names
- Martha E. Vest
Other providers in Mount Sterling, IL
- Advance Physical Therapy & Sports Medicine of Chatham LLC
- Apex Physical Therapy, LLC
- Liann S Bauch
- Be Well Therapeutic Center LLC
- Donna Bemis
- Blessing Hospital
- Rochelle L Briney
- Brown County
- Brown County Cu SCH Dist 1
- Brown County Public Health Department
All providers in Mount Sterling, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.