Raymond Pranada

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

070016146 Issued in IL

Practice address

103 Misty CV
Savoy, IL 61874-9598

Phone

(217) 979-7251

NPI assigned

May 14, 2012

Sex

Male

Sole proprietor

Yes

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.

• Therapy Is Physical, LLC

  • Home Health Agency
  • Savoy, IL
  • NPI 1134551351
  NPD (past) Authorized official
• Therapy Is Physical, LLC

  • Physical Therapy Clinic/Center
  • Savoy, IL
  • NPI 1235560418
  NPD (past) Authorized official

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 14, 2012.

{
    "created_epoch": "1336953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336953600000",
    "number": "1497014237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MISTY CV",
            "city": "SAVOY",
            "state": "IL",
            "postal_code": "618749598",
            "telephone_number": "217-979-7251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MISTY CV",
            "city": "SAVOY",
            "state": "IL",
            "postal_code": "618749598",
            "telephone_number": "217-979-7251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRANADA",
        "first_name": "RAYMOND",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-14",
        "last_updated": "2012-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251C2600X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Cardiopulmonary",
            "state": "IL",
            "license": "070016146",
            "primary": false
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "IL",
            "license": "070016146",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": "070016146",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Parks, MSW
• Toria M Plotner
• Courtney Ann Porter, LSW, MSW, M.ED.
• Prairie Song Therapy and Consulting PLLC
• Prairie Wind Speech Therapy, Inc.
• Keith Prather, M.A.CCC-SLP
• Kelly Prather
• Presence Covenant Medical Center
• Creighton Prosser, OD
• Raja Naveed Sadiq, MD SC

• All providers in Savoy, IL
• Geriatric Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.