Kara Bushong, PT
Individual provider Active NPI Physical Therapist · Washington, IL
NPI 1407019508 · NPPES record last updated Jul 8, 2011
Key facts
- NPI
- 1407019508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 209 N Cummings LN
Washington, IL 61571-2181 - Phone
- (309) 886-2305
- Fax
- (309) 444-3893
- NPI assigned
- Jul 8, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | IL | Yes |
Addresses
Primary practice location
209 N Cummings LN
Washington, IL 61571-2181
Mailing address
209 N Cummings LN
Washington, IL 61571-2181
Phone (309) 886-2305
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00765521 | Other | IL | RR MEDICARE |
Other providers in Washington, IL
- Bryanna R Bray
- Brightside Recovery LTD
- Judy Anne Brown
- Cheryl Lynn Bunyan
- Dennis C Burton
- Lisa House/Apartment Byard
- Jon Byler
- Stephanie Calderas
- Scott Carlson
- Chelse Carr
All providers in Washington, 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 Jul 8, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.