Rachel Kathryn Cushman, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160.004310 Issued in IL

Practice address

1600 S 4TH Ave
Suite 135
Morton, IL 61550-2889

Phone

(309) 263-2481

NPI assigned

Apr 17, 2008

Last updated

Jul 15, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Institute of Physical Medicine and Rehabilitation

  • Physical Medicine & Rehabilitation Physician
  • Peoria, IL
  • NPI 1164464491
  NPD (past)

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1497929764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 N SHERIDAN RD",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616142932",
            "telephone_number": "309-692-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 S 4TH AVE",
            "address_2": "SUITE 135",
            "city": "MORTON",
            "state": "IL",
            "postal_code": "615502889",
            "telephone_number": "309-263-2481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUSHMAN",
        "first_name": "RACHEL",
        "middle_name": "KATHRYN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.004310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Spine and Sport, LLC
• Matthew Carl Craig, D.C.
• David T. Cross
• Curt Meiss Counseling Services PC
• Brian Curtis
• Jennifer Christine Daniel-Price, D.C.
• David M. Skillrud MD LTD.
• Kimberly A Day, CCC,SLP
• Michelle Diane Deboer, ATC
• Jennifer B Deeb, NP-C

• Physical Therapy Assistant in Morton, IL
• Providers in Morton, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.