Kyle Cottone, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070-014995 Issued in IL

Practice address

9901 N Knoxville Ave
Ste. D
Peoria, IL 61615-1429

Phone

(309) 243-1989

Fax

(309) 243-8138

NPI assigned

May 30, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352937600000",
    "number": "1487601936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 43RD AVE STE 100",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612658401",
            "telephone_number": "309-743-2070",
            "fax_number": "309-743-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9901 N KNOXVILLE AVE",
            "address_2": "STE. D",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151429",
            "telephone_number": "309-243-1989",
            "fax_number": "309-243-8138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTONE",
        "first_name": "KYLE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2012-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-014995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS PT LICENSE NO",
            "identifier": "070-014995",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelli M Cothern, SPEECH THERAPIST
• Kyle Cotner, MD
• Cotton Chiropractic, LLC
• Brad Anthony Cotton, D.C.
• Laketia Cotton, CNA
• Counseling & Family Services
• Eva Tarce Counsil, OTR/L
• Countermeasures, Inc.
• County of Peoria
• Maggie Cour, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; 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.