Individual provider Active NPI

Nadine Kathie Miyoko Day, M.P.T.

  • Physical Therapist
  • Danville, IL
National Provider Identifier
1457546608
Registry record updated Aug 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
060.007809 Issued in IL
Practice address
3815 N Vermilion St
Danville, IL 61832-1159
Phone
(217) 446-7878
Fax
(217) 446-7865
NPI assigned
Sep 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070 009850 IL
Physical Therapist 225100000X 060.007809 IL Primary

Addresses

Primary practice location

3815 N Vermilion St
Danville, IL 61832-1159

Mailing address

3815 N Vermilion St
Danville, IL 61832-1159
Phone (217) 446-7878

Other identifiers 1

IdentifierTypeStateIssuer
070 009850OtherILSTATE LICENCE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041202000617 IL Practitioner - Physical Therapist in Private Practice 7517923428 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Physical Therapy, PCGroup PAC ID 9537110549, 2 clinicians

Practice addresses (Care Compare)

3815 N Vermilion St
Danville, IL 61832-1159
Phone (217) 446-7878

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
060.007809ILMDPhysical Therapist
070 009850ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Physical Therapy, PC Physical Therapist CurrentSince May 4, 2001 Accepting new patients
Christie Clinic, PLLC Physical Therapist PastSince May 15, 2001 Accepting new patients

Locations

3815 N Vermilion St
Danville, IL 61832
Phone (217) 446-7878

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1189468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282262400000",
    "number": "1457546608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 N VERMILION ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618321159",
            "telephone_number": "217-446-7878",
            "fax_number": "217-446-7865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 N VERMILION ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618321159",
            "telephone_number": "217-446-7878",
            "fax_number": "217-446-7865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAY",
        "first_name": "NADINE",
        "middle_name": "KATHIE MIYOKO",
        "name_prefix": "Mrs.",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-11",
        "last_updated": "2010-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070 009850",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "060.007809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE NUMBER",
            "identifier": "070 009850",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.