Individual provider Active NPI

Rose Hoerr

  • Physical Therapist
  • Peoria, IL
National Provider Identifier
1699214338
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070022803 Issued in IL
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

Updated by the provider on Oct 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
070022803OtherILPHYSICAL THERAPIST LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170329001429 IL Practitioner - Physical Therapist in Private Practice 3072898360 Reassigns benefits to 2 organizations

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
Koch Family Medicine SCGroup PAC ID 1153378229, 8 clinicians

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 100Reported as group
Quality
74.86
Improvement activities
40
Cost
79.33

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Solvera Healthcare Center Inc CurrentSince Oct 1, 2021 Accepting new patients
Koch Family Medicine SC CurrentSince Nov 6, 2023 Accepting new patients
Solvera Healthcare Center Inc Physical Therapist CurrentSince Oct 1, 2021 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

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.