Michelle Elizabeth Marquis, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070019501 Issued in IL

Practice address

1045 N State Route 121
Mt Zion, IL 62549-1219

Phone

(217) 864-0820

NPI assigned

Sep 26, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Midwest PCW PT LLCGroup PAC ID 3779807482, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Midwest PCW PT, LLC

  • Physical Therapist
  • Forsyth, IL
  • NPI 1275931156

  IL, Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550707200000",
    "number": "1629329941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 N STATE ROUTE 121",
            "city": "MT ZION",
            "state": "IL",
            "postal_code": "625491219",
            "telephone_number": "217-864-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 N STATE ROUTE 121",
            "city": "MT ZION",
            "state": "IL",
            "postal_code": "625491219",
            "telephone_number": "217-864-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUIS",
        "first_name": "MICHELLE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-26",
        "last_updated": "2019-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070019501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070019501",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Keck-Flory, DMD
• Katelyn Keller, APRN
• Zoey Michelle Lowe
• Julia Ann Mackenzie, MS, RD, LDN
• Madeline Faith Mackin, PT, DPT
• Cassie E Mavis, MS, CCC-SLP
• Maddison Rae Maxedon, APRN
• Stephanie Jo McGeorge, BSN RN CNOR RNFA
• Joseph Thomas Meyers, MSN, APN, FNP-C
• Kim Miller, APN/CNP

• Physical Therapist in Mt Zion, IL
• Providers in Mt Zion, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2019; 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.