Individual provider Active NPI

Eric Ley, P.T.

  • Physical Therapist
  • Quincy, IL
National Provider Identifier
1619981982
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
927 Broadway St
Suite 100
Quincy, IL 62301-2719
Phone
(217) 222-9300
Fax
(217) 222-9400
NPI assigned
Jul 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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 IL Primary

Addresses

Primary practice location

927 Broadway St
Suite 100
Quincy, IL 62301-2719

Mailing address

927 Broadway St
Suite 100
Quincy, IL 62301-2719
Phone (217) 222-9300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050418000143 IL Practitioner - Physical Therapist in Private Practice 4789677956 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4800 Maine St
Suite 48 100
Quincy, IL 62305-5875
Phone (217) 222-6800

927 Broadway St
Suite 100
Quincy, IL 62301-2728
Phone (217) 222-9300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-010479ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Physical Therapy & Sports Medicine of Adams County LLC CurrentSince May 1, 2005 Accepting new patients
Advance Physical Therapy Illini Community Hospital LLC Physical Therapist Current Accepting new patients
Advance Physical Therapy & Sports Medicine of Adams County LLC Physical Therapist Current Accepting new patients
Advance Physical Therapy of Hancock County LLC Physical Therapist CurrentSince Nov 12, 2011 Accepting new patients
Advance Physical Therapy & Sports Medicine of Lebanon, LLC Physical Therapist PastSince Jul 1, 2010 Accepting new patients
Advance Hannibal Regional Hospital LLC Physical Therapist Past Accepting new patients
Advance PT Therapy of Hannibal LLC Physical Therapist PastSince Aug 8, 2012 Accepting new patients
Advance Physical Therapy & Sports Medicine of Lewis County LLC Physical Therapist PastSince Aug 8, 2012 Accepting new patients
Advance PT-Blessing Corp Services-Ft Madison Community Hosp Physical Therapist PastSince Jan 1, 2016 Accepting new patients
Advance Physical Therapy & Sports Medicine LLC Physical Therapist PastSince Feb 23, 2001 Accepting new patients

Locations

1452 N County Road 2050 E
Carthage, IL 62321
Phone (217) 357-9000

3032 Broadway St
Quincy, IL 62301
Phone (217) 617-3412

927 Broadway St
Ste 100
Quincy, IL 62301
Phone (217) 222-9300

4800 Maine St
Ste 48100
Quincy, IL 62305
Phone (218) 316-2937

160 Progress Rd
#111
Hannibal, MO 63401

Organizations & group practices 10

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": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1619981982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 BROADWAY ST",
            "address_2": "SUITE 100",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012719",
            "telephone_number": "217-222-9300",
            "fax_number": "217-222-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 BROADWAY ST",
            "address_2": "SUITE 100",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012719",
            "telephone_number": "217-222-9300",
            "fax_number": "217-222-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEY",
        "first_name": "ERIC",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; 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.