Brock Wayne Athey, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070018141 Issued in IL

Practice address

1303 W Evergreen Ave
Biomax Ste 102
Effingham, IL 62401

Phone

(217) 343-3400

Fax

(217) 342-9714

NPI assigned

Nov 3, 2011

Last updated

Nov 3, 2011By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Biomax Rehabilitation Services, Inc

  • Prosthetic/Orthotic Supplier
  • Effingham, IL
  • NPI 1821186578
  NPD (past)
• Sarah Bush Lincoln Health Center

  dba FCH Greenville Family Medicine Clinic

  • Rural Health Clinic/Center
  • Greenville, IL
  • NPI 1811858970
  NPD (past)

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

{
    "created_epoch": "1320278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1609152735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 W EVERGREEN AVE",
            "address_2": "BIOMAX STE 102",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "62401",
            "telephone_number": "217-343-3400",
            "fax_number": "217-342-9714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 W EVERGREEN AVE",
            "address_2": "BIOMAX STE 102",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "62401",
            "telephone_number": "217-343-3400",
            "fax_number": "217-342-9714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATHEY",
        "first_name": "BROCK",
        "middle_name": "WAYNE",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-03",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070018141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Narinder S. Arora, M.D.
• Navdip Singh Arora, M.D.
• Laura Ash
• Ashley Kreke Counseling and Play Therapy, PLLC
• Ashley Kreke Counseling and Play Therapy, PLLC
• Quenten Edward Austin, PA-C
• Elene M Awad, MD PHD
• Baggett Chiropractic Care, LTD.
• Pamela Dee Baggett, D.C.
• Amanda Baker, PT, DPT

• Physical Therapist in Effingham, IL
• Providers in Effingham, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.