Jonathan Acklie, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070011632 Issued in IL

Practice address

9901 N. Knoxville Avenue
Suite D
Peoria, IL 61615-1433

Phone

(309) 243-1989

Fax

(309) 243-8138

NPI assigned

Feb 21, 2006

Last updated

Apr 11, 2012By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rock Valley Physical Therapy CenterGroup PAC ID 9638087877, 232 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Rock Valley Physical Therapy Center

  • Physical Therapist
  • Moline, IL
  • NPI 1245373166
  Medicare reassignment Care Compare group NPD
• Koch Family Medicine SC

  • Family Medicine Physician
  • Morton, IL
  • NPI 1376665125
  Medicare reassignment NPD
• Rock Valley Physical Therapy Center

  • Occupational Therapist
  • Eldridge, IA
  • NPI 1881540490

  Physical Therapist

  NPD
• Orthopedic Associates of Peoria, S.C.

  dba Great Plains Orthopaedics

  • Durable Medical Equipment & Medical Supplies
  • Peoria, IL
  • NPI 1467418350
  NPD (past)

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1568437747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 43RD AVE",
            "address_2": "SUITE 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 AVENUE",
            "address_2": "SUITE D",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151433",
            "telephone_number": "309-243-1989",
            "fax_number": "309-243-8138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKLIE",
        "first_name": "JONATHAN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070011632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Accolade Healthcare of Peoria, LLC
• Accolade Healthcare of Peoria, LLC
• Accuquest Hearing Center, LLC
• Accurate Hearcare Corporation (Accurate Hearing Center of Peoria)
• Jasmine Pramoj Acfalle
• Acpm Podiatry Group, LTD
• Action Mobility Inc
• Active Way Healthcare Services, LLC
• Acute Care Surgery Midwest, S.C.
• Kathleen Jane Adair, RPH

• 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 Apr 11, 2012; 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.

Verify at the official NPI Registry.