Mary Aubry, DPT
Individual provider Active NPI Physical Therapist · Normal, IL
NPI 1417619107 · NPPES record last updated Mar 23, 2022
Key facts
- NPI
- 1417619107
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070022039 (IL)
- Practice address
- 211 Landmark Dr Ste E3
Normal, IL 61761-6165 - Phone
- (309) 663-4900
- NPI assigned
- Oct 10, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.21 of 100
- Quality
- 85
- Improvement activities
- 40
- Cost
- 80.71
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220318001946 | IL | Practitioner - Physical Therapist in Private Practice | 4082009550 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070022039 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Illinois Institute of Balance LLC | Physical Therapist | Current |
Accepting new patients |
Locations
211 Landmark Dr
Ste E3
Normal, IL 61761
Phone (309) 454-7337
211 Landmark Dr
Ste E
Normal, IL 61761
Phone (309) 663-4900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070022039 | IL | Yes |
Addresses
Primary practice location
211 Landmark Dr Ste E3
Normal, IL 61761-6165
Mailing address
211 Landmark Dr Ste E3
Normal, IL 61761-6165
Other names
- Mary Ellerby
Other providers in Normal, IL
- Arc at Normal LLC
- Deborah Armstrong
- Syeda M Asad
- Winifred Devoe Ashford
- Aspire Speech, Language and Listening Therapy, PLLC
- Verna L Auge
- Ausome Foundation
- Xiao-Tian Austin
- Kacey Ayres
- Jara Bachtold
All providers in Normal, 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 Mar 23, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.