Poonam C McAllister, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070-007930 Issued in IL

Practice address

2200 Fort Jesse Rd
Suite 250
Normal, IL 61761-6286

Phone

(309) 454-1616

Fax

(309) 454-5167

NPI assigned

Jan 9, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Illinois Institute of Balance LLCGroup PAC ID 7618072497, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.21 of 100Reported as group

Quality

85

Improvement activities

40

Cost

80.71

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Central Illinois Institute of Balance LLC

  • Physical Therapist
  • Normal, IL
  • NPI 1255478335
  Medicare reassignment Care Compare group NPD Authorized official
• Orthopedic & Sports Medicine Center

  • Orthopaedic Surgery Physician
  • Normal, IL
  • NPI 1972611044
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1376692319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1408 SEARLE DR",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617612870",
            "telephone_number": "309-454-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 FORT JESSE RD",
            "address_2": "SUITE 250",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616286",
            "telephone_number": "309-454-1616",
            "fax_number": "309-454-5167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCALLISTER",
        "first_name": "POONAM",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-007930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100044415-62762-01",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Merlin R. Mather, D.MIN., LCPC
• Stephen S Matter, M.D.
• Amanda Matthews, APN
• Daniel Lee Maurer
• Lindsay Marie Maxson, DSW, LCSW
• Elisabeth Leann McClure, FNP APN
• Jacqueline Rene McClure, M.S., CCC-SLP
• Scott McCormick III, M.D.
• Kelli McCubbins, PHARMD
• Julie Marie McDaniel

• Physical Therapist in Normal, IL
• Providers in Normal, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.