NPIMap

Individual provider Active NPI

Jill Robyn Oertle, PT, DPT

  • Physical Therapist
  • Bunker Hill, IL
National Provider Identifier
1639352255
Registry record updated Nov 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070012406 Issued in IL
Practice address
128 North Washington Street
Bunker Hill, IL 62014
Phone
(618) 585-4761
Fax
(618) 585-3523
NPI assigned
Dec 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2009

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 070012406 IL Primary

Addresses

Primary practice location

128 North Washington Street
Bunker Hill, IL 62014

Mailing address

PO Box 326
Bunker Hill, IL 62014-0326
Phone (618) 585-4761

Other identifiers 6

IdentifierTypeStateIssuer
5932026OtherILBLUE CROSS BLUE SHIELD OF ILLINOIS
708779OtherOPTUM HEALTH / ACN
7645410OtherILAETNA
921345OtherILHEALTHLINK
P00652253OtherILRAILROAD MEDICARE
2602740OtherUNITED HEALTHCARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080114000009 IL Practitioner - Physical Therapist in Private Practice 7315028644 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070012406ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Booher Health LLC Physical Therapist CurrentSince Jul 15, 2023 Accepting new patients
Jones Chiropractic and Physical Therapy LTD Physical Therapist CurrentSince Jun 30, 2008 Accepting new patients
Fitness Designs Physical Therapy & Sports Rehab Past Accepting new patients
Fitness Designs Physical Therapy and Sports Rehab LLC Physical Therapist PastSince Oct 1, 2011 Accepting new patients
Compass Capital LLC PastSince Apr 30, 2026 Accepting new patients

Locations

721 S Washington St
Bunker Hill, IL 62014
Phone (618) 585-3522

128 N Washington St
Bunker Hill, IL 62014
Phone (618) 585-3522

Organizations & group practices 5

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": "1196899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257811200000",
    "number": "1639352255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 326",
            "city": "BUNKER HILL",
            "state": "IL",
            "postal_code": "620140326",
            "telephone_number": "618-585-4761",
            "fax_number": "618-585-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 NORTH WASHINGTON STREET",
            "city": "BUNKER HILL",
            "state": "IL",
            "postal_code": "62014",
            "telephone_number": "618-585-4761",
            "fax_number": "618-585-3523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OERTLE",
        "first_name": "JILL",
        "middle_name": "ROBYN",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-06",
        "last_updated": "2009-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070012406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ILLINOIS",
            "identifier": "5932026",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM HEALTH / ACN",
            "identifier": "708779",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7645410",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "921345",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00652253",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2602740",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bunker Hill, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.