Individual provider Active NPI

Jane B Reichmann, P.T.

  • Physical Therapist
  • Carlinville, IL
National Provider Identifier
1467674119
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-002719 Issued in IL
Practice address
20733 N Broad St
Carlinville, IL 62626-3710
Phone
(217) 854-3141
Fax
(217) 854-9820
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Therapist 222Q00000X JR5057898P IL
Physical Therapist 225100000X 070-002719 IL Primary

Addresses

Primary practice location

20733 N Broad St
Carlinville, IL 62626-3710

Mailing address

1350 E 1St South St
Carlinville, IL 62626-2517
Phone (217) 854-6057

Other identifiers 1

IdentifierTypeStateIssuer
1053425124OtherILHOSPITAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
JR5057898PILMDDevelopmental Therapist
070-002719ILMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1467674119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 E 1ST SOUTH ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626262517",
            "telephone_number": "217-854-6057",
            "fax_number": "217-854-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20733 N BROAD ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626263710",
            "telephone_number": "217-854-3141",
            "fax_number": "217-854-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REICHMANN",
        "first_name": "JANE",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "IL",
            "license": "JR5057898P",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-002719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOSPITAL",
            "identifier": "1053425124",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlinville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.