Active NPI
Nicole L Parmly, P.T.
- Physical Therapist
- Carbondale, IL
National Provider Identifier
1659890069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070023323
- Practice address
- 374 E Grand Ave
Carbondale, IL 62901-3962 - Phone
- (618) 997-6800
- NPI assigned
- Sep 18, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070023323 | IL | Primary |
Addresses
Primary practice location
374 E Grand Ave
Carbondale, IL 62901-3962
Mailing address
510 Lincoln Drive
Herrin, IL 62948
Phone (618) 997-6800
Other practice location 1
510 Lincoln Drive
Herrin, IL 62901
Phone (618) 997-6800 ext. 1125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
510 Lincoln Dr
Herrin, IL 62948-6334
Phone (618) 997-6800
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.56 of 100
- Quality
- 83.23
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070023323 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Orthopedic Associates SC | Physical Therapist | Current | Accepting new patients |
Locations
374 E Grand Ave
Carbondale, IL 62901
Phone (618) 453-1292
510 Lincoln Dr
Herrin, IL 62948
Phone (618) 997-3100
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Herrin, IL
- NPI 1396792412
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665014400000",
"number": "1659890069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 LINCOLN DRIVE",
"city": "HERRIN",
"state": "IL",
"postal_code": "62948",
"telephone_number": "618-997-6800",
"fax_number": "618-997-1187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "374 E GRAND AVE",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629013962",
"telephone_number": "618-997-6800"
}
],
"practiceLocations": [
{
"address_1": "510 Lincoln Drive",
"address_purpose": "LOCATION",
"city": "Herrin",
"state": "IL",
"postal_code": "62901",
"country_code": "US",
"telephone_number": "618-997-6800 x1125",
"fax_number": "618-997-1187",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARMLY",
"first_name": "NICOLE",
"middle_name": "L",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-18",
"last_updated": "2022-10-06",
"certification_date": "2022-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070023323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carbondale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.