Cheryl Dement, PT
Individual provider Active NPI Physical Therapist · Clinton, IL
NPI 1629026604 · NPPES record last updated Apr 20, 2011
Key facts
- NPI
- 1629026604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070-008331 (IL)
- Practice address
- 215 W White St
Clinton, IL 61727-2240 - Phone
- (217) 937-5224
- Fax
- (217) 937-5360
- NPI assigned
- May 4, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-008331 | IL | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070-008331 | IL | Yes |
Addresses
Primary practice location
215 W White St
Clinton, IL 61727-2240
Mailing address
PO Box 5387
Bloomington, IL 61702-5387
Phone (309) 661-8823
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070-008331 | Other | IL | IL LICENSE NO |
Other providers in Clinton, IL
- Rebecca E Craig
- Angela Cunningham
- Rajpal Dalal
- Amanda Lee Deets
- Monica Mary Degrauwe
- Dewitt County Human Resource Center
- Dewitt County Human Resource Center
- Dewitt County Human Resource Center
- Dewitt-Piatt Bi-County Health Department
- Jennifer Dooley
All providers in Clinton, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 20, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.