Active NPI
Danny Schroeder, PT
- Physical Therapist
- Peoria, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070019293
- Practice address
- 6000 N Allen Rd
Peoria, IL 61614-3294 - Phone
- (309) 691-1400
- Fax
- (309) 693-3197
- NPI assigned
- Sep 18, 2012
- Last updated
- Aug 17, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070019293 | IL | Primary |
Addresses
Primary practice location
6000 N Allen Rd
Peoria, IL 61614-3294
Mailing address
6000 N Allen Rd
Peoria, IL 61614-3294
Phone (309) 691-1400
Other practice location 1
2351 Broadway St
Pekin, IL 61554-3972
Phone (309) 691-1400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6000 N Allen Rd
Peoria, IL 61614-3294
Phone (309) 691-1400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070019293 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services Il LLC | Physical Therapist | Current | Accepting new patients |
| Revolution PTWL LLC | Physical Therapist | Current | Accepting new patients |
| Midwest Orthopaedic Center S C | Current | Accepting new patients |
Locations
845 N Michigan Ave
Ste 973W
Chicago, IL 60611
Phone (312) 651-6255
2351 Broadway St
Pekin, IL 61554
Phone (309) 353-4159
6000 N Allen Rd
Peoria, IL 61614
Phone (309) 391-1400
Organizations & group practices 3
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.
-
- Specialist
- Peoria, IL
- NPI 1710938006
-
- Physical Therapist
- Westchester, IL
- NPI 1114443462
-
dba Revolution Physical Therapy Weight Loss
- Physical Therapist
- Chicago, IL
- NPI 1164766606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660694400000",
"number": "1518217470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6000 N ALLEN RD",
"city": "PEORIA",
"state": "IL",
"postal_code": "616143294",
"telephone_number": "309-691-1400",
"fax_number": "309-693-3197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6000 N ALLEN RD",
"city": "PEORIA",
"state": "IL",
"postal_code": "616143294",
"telephone_number": "309-691-1400",
"fax_number": "309-693-3197"
}
],
"practiceLocations": [
{
"address_1": "2351 Broadway St",
"address_purpose": "LOCATION",
"city": "Pekin",
"state": "IL",
"postal_code": "615543972",
"country_code": "US",
"telephone_number": "309-691-1400",
"fax_number": "309-693-3197",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHROEDER",
"first_name": "DANNY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-09-18",
"last_updated": "2022-08-17",
"certification_date": "2022-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070019293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
- Andrea Catherine Scholl, APN
- Kate Janelle Schoonover, RD, LDN
- Steven C Schrader, MD
- Joy Christine Schramm, MSN, CNP
- Emma Schrepfer
- Nathan D Schroeder, D.M.D.
- Mary Diana Schroer, MS, LCPC
- Schubach Counesling, Consulting & Training PLLC
- Samantha Louise Schubach, LCPC
- Schuler & Arkwell Orthodontic Partnership (Orthodontics Ltd.)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.