Individual provider Active NPI

Anna Rose Friel, DPT

  • Physical Therapist
  • Rockford, IL
National Provider Identifier
1578180105
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-025194 Issued in IL
Practice address
1643 N Alpine Rd
Cora Physical Therapy
Rockford, IL 61107
Phone
(815) 977-4095
Fax
(815) 977-4571
NPI assigned
Jun 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070-025194 IL Primary

Addresses

Primary practice location

1643 N Alpine Rd
Cora Physical Therapy
Rockford, IL 61107

Mailing address

1643 N Alpine Rd
Cora Physical Therapy
Rockford, IL 61107
Phone (815) 977-4095

Other names 1

  • Ms. Anna Rose Gibbons Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200710001763 IL Practitioner - Physical Therapist in Private Practice 2062835952 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-025194ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthomidwest, PLLC CurrentSince Jul 6, 2020 Accepting new patients
Orthomidwest, PLLC Physical Therapist CurrentSince Jul 6, 2020 Accepting new patients
Edgebrook Physical Therapy, Inc. Physical Therapist CurrentSince Sep 23, 2024 Accepting new patients
Marengo Physical Therapy, Inc. Physical Therapist Past Accepting new patients
Belvidere Physical Therapy Inc Physical Therapist Past Accepting new patients

Locations

770 Beloit Rd
Belvidere, IL 61008
Phone (815) 847-7060

5875 E Riverside Blvd
Rockford, IL 61114
Phone (779) 774-1270

1643 N Alpine Rd
Rockford, IL 61107
Phone (815) 289-6942

324 Roxbury Rd
Rockford, IL 61107
Phone (815) 381-7339

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1593475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1578180105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 N ALPINE RD",
            "address_2": "CORA PHYSICAL THERAPY",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "61107",
            "telephone_number": "815-977-4095",
            "fax_number": "815-977-4571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1643 N ALPINE RD",
            "address_2": "CORA PHYSICAL THERAPY",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "61107",
            "telephone_number": "815-977-4095",
            "fax_number": "815-977-4571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEL",
        "first_name": "ANNA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-30",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-025194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "GIBBONS",
            "middle_name": "ROSE",
            "prefix": "MS.",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.