Nicholas Hentis
Individual provider Active NPI Physical Therapist · Chester, IL
NPI 1669736724 · NPPES record last updated Jul 3, 2012
Key facts
- NPI
- 1669736724
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070.018968 (IL)
- Practice address
- 1900 State St
Chester, IL 62233-1116 - Phone
- (618) 826-4581
- NPI assigned
- Jul 3, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 070.018968 | IL | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.018968 | IL | Yes |
Addresses
Primary practice location
1900 State St
Chester, IL 62233-1116
Mailing address
1900 State St
Chester, IL 62233-1116
Other providers in Chester, IL
- John R Groll
- Ashley Gugerty
- H&S Pharmacies, LLC
- H&S Pharmacies, LLC
- Sandra Lee Hamilton
- Robin Lynn Hentis
- Jamie Erin Hess
- Melaina Hope Hess
- Samuel Higgerson
- High Point Residence Chester
All providers in Chester, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2012. 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.