Samantha McGrath
Individual provider Active NPI Physical Therapy Assistant · Peru, IL
NPI 1629601760 · NPPES record last updated Feb 18, 2020
Key facts
- NPI
- 1629601760
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 160008077 (IL)
- Practice address
- 1400 Midtown Rd
Peru, IL 61354-1269 - Phone
- (815) 223-8600
- NPI assigned
- Feb 18, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 160008077 | IL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Margaret'S Hospital | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 160008077 | IL | Yes |
Addresses
Primary practice location
1400 Midtown Rd
Peru, IL 61354-1269
Mailing address
1400 Midtown Rd
Peru, IL 61354-1269
Other providers in Peru, IL
- Maitri Path to Wellness PLLC
- Shaista Malik
- Emily Manternach
- Tyler Martyn
- Kayla M Matheson
- Daniel Patrick McKee
- Kevin F. McLendon
- Katrina McQuilkin
- Amber Lynn Meagher
- Elizabeth Meier
All providers in Peru, IL · Physical Therapy Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2020. 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.