Richard Deibel, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.005347 Issued in IL

Practice address

540 E Terra Cotta Ave
Suite G
Crystal Lake, IL 60014-3652

Phone

(815) 477-8004

NPI assigned

Mar 12, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Empower Advanced Therapy

  • Rehabilitation Clinic/Center
  • Crystal Lake, IL
  • NPI 1245942556

  Physical Therapist

  NPD (past)
• Given Sports & Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Crystal Lake, IL
  • NPI 1053506451
  NPD (past)

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236816000000",
    "number": "1376784967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 MIDLANE DRIVE",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "60012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 E TERRA COTTA AVE",
            "address_2": "SUITE G",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143652",
            "telephone_number": "815-477-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEIBEL",
        "first_name": "RICHARD",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-12",
        "last_updated": "2009-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.005347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Deanda
• Julia Deatherage
• Debra K.Hirschberg and Associates, Inc.
• Stacy Decristofaro, DT
• Cara Irene Defrisco
• Michelle Marie Delarosa, LCPC
• Delight in Living, LTD
• Katherine Delli Paoli, MS, OTR/L
• Katherine Z Demunno, OTR/L
• Dental Office 300 Memorial Drive LLC

• Physical Therapist in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.