Active NPI
Rose Hoerr
- Physical Therapist
- Peoria, IL
National Provider Identifier
1699214338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070022803
- Practice address
- 3525 N University St
Peoria, IL 61604-1324 - Phone
- (855) 476-5837
- NPI assigned
- Feb 14, 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 | 070022803 | IL | Primary |
Addresses
Primary practice location
3525 N University St
Peoria, IL 61604-1324
Mailing address
2619 W Heading Ave Ste 303
West Peoria, IL 61604-4971
Phone (855) 476-5837
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070022803 | Other | IL | PHYSICAL THERAPIST LICENSE NUMBER |
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, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
411 Maxine Dr
Morton, IL 61550-2495
Phone (309) 263-2411
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.74 of 100
- Quality
- 74.86
- Improvement activities
- 40
- Cost
- 79.33
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Solvera Healthcare Center Inc | Current | Accepting new patients | |
| Koch Family Medicine SC | Current | Accepting new patients | |
| Solvera Healthcare Center Inc | Physical Therapist | Current | Accepting new patients |
Locations
721 S Lewis Ln
Carbondale, IL 62901
Phone (618) 457-4999
411 Maxine Dr
Morton, IL 61550
Phone (309) 263-2411
3525 N University St
Peoria, IL 61604
Phone (309) 886-9172
Interoperability endpoints
- rose.hoerr@shcci.eclinicaldirectplus.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Morton, IL
- NPI 1376665125
-
- Clinic Pharmacy
- Galesburg, IL
- NPI 1609615210
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635206400000",
"number": "1699214338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2619 W HEADING AVE STE 303",
"city": "WEST PEORIA",
"state": "IL",
"postal_code": "616044971",
"telephone_number": "855-476-5837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3525 N UNIVERSITY ST",
"city": "PEORIA",
"state": "IL",
"postal_code": "616041324",
"telephone_number": "855-476-5837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOERR",
"first_name": "ROSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-14",
"last_updated": "2021-10-26",
"certification_date": "2021-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070022803",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST LICENSE NUMBER",
"identifier": "070022803",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; 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.