Shawnee Performance and Rehab LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SHAWNEE PERFORMANCE AND REHAB LLC

Practice address

918 Bauman LN
Harrisburg, IL 62946-3550

Phone

(618) 252-1878

Fax

(618) 518-5142

NPI assigned

Jun 10, 2021

Organization subpart

No

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

Authorized official

Name

Joshua R Gill, DPTNPI 1245630185

Title

Owner

Phone

(618) 252-1878

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joshua R Gill, DPT

  • Physical Therapist
  • Harrisburg, IL
  • NPI 1245630185
  Medicare reassignment Care Compare group NPD Authorized official
• Keelin D Rasch, DPT

  • Physical Therapist
  • Harrisburg, IL
  • NPI 1881401354
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1407423007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3276",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477313276",
            "telephone_number": "812-473-0181",
            "fax_number": "812-492-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "918 BAUMAN LN",
            "city": "HARRISBURG",
            "state": "IL",
            "postal_code": "629463550",
            "telephone_number": "618-252-1878",
            "fax_number": "618-518-5142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHAWNEE PERFORMANCE AND REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-10",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-252-1878",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Cody Sandusky, PHARM.D.
• Jennifer Marie Scagliola, D.O.
• Select Psychiatric Management Group LLC
• Charles E Seten, MD
• Vernita Shavers
• Dennis Shimp, CRNA
• Angela L Shires, RN
• Sandy Shortland
• Linda K Sims
• Billy G Smith

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.