Juli Baker

Individual provider Active NPI Physical Therapy Assistant · Peru, IL

NPI 1558994749 · NPPES record last updated Feb 17, 2020

Key facts

NPI
1558994749
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
Practice address
1400 Midtown Rd
Peru, IL 61354-1269
Phone
(815) 223-8600
NPI assigned
Feb 17, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
St. Margaret'S Hospital Past
since Feb 23, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X Yes

Addresses

Primary practice location

1400 Midtown Rd
Peru, IL 61354-1269

Mailing address

1400 Midtown Rd
Peru, IL 61354-1269

Other providers in Peru, IL

All providers in Peru, IL · Physical Therapy Assistant in Illinois

Sources for this page

Verify at the official NPI Registry.