Kevin Vallero, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070003661 Issued in IL

Practice address

765 N Kellogg St
Suite 300
Galesburg, IL 61401-2875

Phone

(309) 343-3434

Fax

(309) 343-3456

NPI assigned

Feb 18, 2008

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kewanee Physical Therapy and Rehab Specialists LLC

  • Occupational Therapist
  • Kewanee, IL
  • NPI 1629081906

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228176000000",
    "number": "1659549202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5387",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617025387",
            "telephone_number": "309-661-8823",
            "fax_number": "309-661-8801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "765 N KELLOGG ST",
            "address_2": "SUITE 300",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012875",
            "telephone_number": "309-343-3434",
            "fax_number": "309-343-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLERO",
        "first_name": "KEVIN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-02-18",
        "last_updated": "2008-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070003661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandon James Tyrrell
• Udi 7
• Philip H Ulm, PSY D
• Unlimited Development, Inc
• Bridgette L. Vale, SLP
• Samuel Iran Vazquez, MD
• Ruby Verma, M.D.
• Alexandra Vernon, ATC
• Ernest Vesta, MD
• Vna Community Services

• Physical Therapist in Galesburg, IL
• Providers in Galesburg, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.