Active NPI
Beth M Pacocha Auer, PT, MPT
- Physical Therapist
- Fairview Heights, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070014335
- Practice address
- 525 Lincoln Hwy
Suite 28
Fairview Heights, IL 62208-2142 - Phone
- (618) 622-5180
- Fax
- (618) 622-5169
- NPI assigned
- Mar 2, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2006033635 | MO | |
| Physical Therapist | 225100000X | 070014335 | IL | Primary |
Addresses
Primary practice location
525 Lincoln Hwy
Suite 28
Fairview Heights, IL 62208-2142
Mailing address
1377 Motor Pkwy
Ste 307
Islandia, NY 11749-5258
Phone (631) 580-5200
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
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
Practice addresses (Care Compare)
17 W Butterfield Rd
Suite 580
Oakbrook Terrace, IL 60181-4036
Phone (630) 889-8125
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006033635 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Pathology, PLLC | Current | Accepting new patients | |
| Rci (WRS), LLC. | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path | Physical Therapist | Current | Accepting new patients |
| Rci (WRS), LLC | Current | Accepting new patients | |
| Rci (WRS), LLC. | Current | Accepting new patients | |
| Rehab Missouri, LLC. | Past | Accepting new patients |
Locations
204 E Washington St
Clinton, IL 61727
Phone (217) 570-0225
2777 Maple Ave
Lisle, IL 60532
Phone (630) 326-8810
9000 W College Pkwy
Palos Hills, IL 60465
Phone (618) 529-3201
826 W Touhy Ave
Park Ridge, IL 60068
Phone (847) 720-4165
1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749
Organizations & group practices 6
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.
-
dba RUSH Physical Therapy
- Physical Therapy Clinic/Center
- Mount Prospect, IL
- NPI 1417561655
Physical Therapist
-
dba Axes Physical Therapy
- Physical Therapist
- Clinton, IL
- NPI 1376917187
-
- Physical Therapy Clinic/Center
- Mokena, IL
- NPI 1568160950
-
dba RUSH Physical Therapy
- Rehabilitation Clinic/Center
- Oakbrook Terrace, IL
- NPI 1093320855
-
- Physical Medicine & Rehabilitation Physician
- New York, NY
- NPI 1215637699
-
dba Novacare Rehabilitation
- Rehabilitation Clinic/Center
- Fairview Heights, IL
- NPI 1861437261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582156800000",
"number": "1366570947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1377 MOTOR PKWY",
"address_2": "STE 307",
"city": "ISLANDIA",
"state": "NY",
"postal_code": "117495258",
"telephone_number": "631-580-5200",
"fax_number": "631-580-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 LINCOLN HWY",
"address_2": "SUITE 28",
"city": "FAIRVIEW HEIGHTS",
"state": "IL",
"postal_code": "622082142",
"telephone_number": "618-622-5180",
"fax_number": "618-622-5169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PACOCHA AUER",
"first_name": "BETH",
"middle_name": "M",
"credential": "PT, MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-02",
"last_updated": "2020-02-20",
"certification_date": "2020-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2006033635",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070014335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairview Heights, IL
- Oneopto Il 2 PLLC (All About Eyes)
- Option 1 Nutrition Solutions, LLC (Aveanna Healthcare Medical Solutions - IL)
- Otto Bock Patient Care, LLC
- Ruth Overstreet, OT
- Tyler Christine Owens, LCSW
- Ty Parker, DMD
- Takiera S Parnell
- Federico Parola, M.ED, M.A.
- Caitlyn Patalas, M.S., CCC-SLP
- Pearle Vision Inc (Pearle Vision #C6672)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.