Julie Ann Peacock, PT DPT BCB PMD

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070012045 Issued in IL

Practice address

3020 S 6TH St
Springfield, IL 62703-5915

Phone

(217) 528-7541

Fax

(217) 789-2569

NPI assigned

Jun 12, 2012

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

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Springfield Clinic, LLPGroup PAC ID 0547166076, 678 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.83 of 100Reported as apm

Quality

75.65

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: julie.peacock.1@28977.direct.athenahealth.com

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.

• Springfield Clinic, LLP

  • Multi-Specialty Clinic/Center
  • Springfield, IL
  • NPI 1780638478

  IL

  Medicare reassignment Care Compare group NPD
• Pana Community Hospital Association

  • Critical Access Hospital
  • Pana, IL
  • NPI 1942326970

  IL

  Medicare reassignment NPD
• Springfield Clinic LLP

  • Rural Health Clinic/Center
  • Raymond, IL
  • NPI 1013255942
  Care Compare group
• Springfield Clinic LLP

  • Rural Health Clinic/Center
  • Flora, IL
  • NPI 1053508960
  Care Compare group
• Springfield Clinic LLP

  • Rural Health Clinic/Center
  • Jacksonville, IL
  • NPI 1073228664
  Care Compare group
• Springfield Clinic LLP

  • Rural Health Clinic/Center
  • Hillsboro, IL
  • NPI 1184982506
  Care Compare group
• Springfield Clinic LLP

  • Rural Health Clinic/Center
  • Effingham, IL
  • NPI 1205023637
  Care Compare group
• Springfield Clinic LLP

  • Multi-Specialty Clinic/Center
  • Springfield, IL
  • NPI 1215974415
  Care Compare group
• Springfield Clinic LLP

  • Rural Health Clinic/Center
  • Teutopolis, IL
  • NPI 1316697600
  Care Compare group
• Springfield Clinic LLP

  • Rural Health Clinic/Center
  • Newton, IL
  • NPI 1396931432
  Care Compare group
• Springfield Clinic LLP

  • Rural Health Clinic/Center
  • Carlinville, IL
  • NPI 1437369030
  Care Compare group
• Springfield Clinic LLP

  • Ambulatory Surgical Clinic/Center
  • Peoria, IL
  • NPI 1528782042
  Care Compare group

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414454400000",
    "number": "1578825873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 S 6TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627032403",
            "telephone_number": "217-528-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 S 6TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627035915",
            "telephone_number": "217-528-7541",
            "fax_number": "217-789-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEACOCK",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PT DPT BCB PMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2014-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070012045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PBCC Pharmacy LLC
• PBCC Pharmacy LLC
• PBM Urology LTD
• Peace Psychiatric Services PLLC
• Elizabeth Peacock, RBT
• Donald Hall Pearson, M.D.
• Ruth Kathryn Pearson, MA, LCPC, CSAT, CMAT
• Alison M Peddycoart, APRN
• Matthew L Peecher, MD
• Jenna R. Pelc, NP

• All providers in Springfield, IL
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; 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.