Catherine Lucille Reel
Individual provider Active NPI Physical Therapy Assistant · Sullivan, IL
NPI 1457023830 · NPPES record last updated Oct 4, 2021
Key facts
- NPI
- 1457023830
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 160.000764 (IL)
- Practice address
- 100 Eastview PL
Sullivan, IL 61951-1674 - Phone
- (217) 728-7367
- NPI assigned
- Oct 4, 2021
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160.000764 | IL | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 160.000764 | IL | Yes |
Addresses
Primary practice location
100 Eastview PL
Sullivan, IL 61951-1674
Mailing address
2600 Compass Rd
Glenview, IL 60026-8001
Phone (877) 787-3422
Other providers in Sullivan, IL
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- Cindi L Reed
- Annamarie Rose Reinhofer
- Robert L Hagen
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All providers in Sullivan, IL · Physical Therapy Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2021. 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.