Joy Marie Powell, MSPT, CERT. MDT
Individual provider Active NPI Physical Therapist · Elburn, IL
NPI 1679074454 · NPPES record last updated Feb 26, 2018
Key facts
- NPI
- 1679074454
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070.023357 (IL)
- Practice address
- 1380 Spalding Ave
Elburn, IL 60119-7856 - Phone
- (616) 970-1227
- NPI assigned
- Feb 26, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.023357 | IL | MD | Physical Therapist |
| 5501012467 | MI | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501012467 | MI | |
| Physical Therapist | 225100000X | 070.023357 | IL | Yes |
Addresses
Primary practice location
1380 Spalding Ave
Elburn, IL 60119-7856
Mailing address
1380 Spalding Ave
Elburn, IL 60119-7856
Phone (616) 970-1227
Other providers in Elburn, IL
- Teodor Paraskevov
- Lazarina Kostova Paraskevova
- Heather R. Partoll
- Jaymin A Patel
- Alyssa Pennington
- Prairie Valley Dental, P.C.
- Airianna Quintanilla
- Andrea Rauch
- Karen Frances Rink
- Robert B Davidson DDS PC
All providers in Elburn, 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 Feb 26, 2018. 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.