Rebecca Badgerow-Watson, MPT,OCS
Individual provider Active NPI Orthopedic Physical Therapist · Columbia, IL
NPI 1699847699 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1699847699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- Practice address
- 236 Southwoods Ctr
Columbia, IL 62236-2462 - Phone
- (618) 281-0374
- Fax
- (618) 281-0674
- NPI assigned
- Nov 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- LMT of Illinois LLC
Practice addresses (Care Compare)
2323 Old Plank Rd
Suite a
Chester, IL 62233-1153
Phone (618) 826-2949
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051208000374 | IL | Practitioner - Physical Therapist in Private Practice | 3577584382 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070008665 | IL | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apex Physical Therapy, LLC | Orthopedic | Current |
Accepting new patients |
| Apex Physical Therapy, LLC | Orthopedic | Current |
Accepting new patients |
| LMT of Illinois, LLC | Orthopedic | Current |
Accepting new patients |
Locations
2323 Old Plank Rd
#A
Chester, IL 62233
Phone (618) 826-2949
200 Admiral Trost Rd
Ste 2
Columbia, IL 62236
Phone (618) 281-3433
4280 S State Route 159
Ste 3
Glen Carbon, IL 62034
Phone (618) 288-4233
1503 Lindell Blvd
Granite City, IL 62040
Phone (618) 709-4125
15 Apex Dr
Highland, IL 62249
Phone (618) 441-0482
427 Edwardsville Rd
Ste 2
Troy, IL 62294
Phone (618) 505-1398
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | IL | Yes |
Addresses
Primary practice location
236 Southwoods Ctr
Columbia, IL 62236-2462
Mailing address
236 Southwoods Ctr
Columbia, IL 62236-2462
Phone (618) 281-0374
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 277645 | Other | GHP | |
| 5660579 | Other | FIRST HEALTH CCN | |
| K23120 | Other | MERCY | |
| 06732025 | Other | BCBS OF IL | |
| 7361646 | Other | AETNA | |
| 737359 | Other | HEALTHLINK | |
| 9419162 | Other | PHCS | |
| 205903 | Other | BCBS OF MO | |
| 13897 | Other | ESSENCE HEALTHCARE |
Other names
- Rebecca Badgerow
Other providers in Columbia, IL
- Anil Gupta M D
- Assoicated Physicians Group LTD
- Athletic and Therapeutic Institute of Bourbonnais, LLC
- Athletico LTD
- Avc Optometry Inc
- Rebecca Kathleen Bailey
- Jennifer Ann Bergmann-Krause
- Bialas Chiropractic LTD.
- Jessica Elizabeth Biffar
- Blair Family Chiropractic, LLC
All providers in Columbia, IL · Orthopedic 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 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.