Individual provider Active NPI

Rebecca Badgerow-Watson, MPT,OCS

  • Orthopedic Physical Therapist
  • Columbia, IL
National Provider Identifier
1699847699
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Practice address
236 Southwoods Ctr
Columbia, IL 62236-2462
Phone
(618) 281-0374
Fax
(618) 281-0674
NPI assigned
Nov 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X IL Primary

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 names 1

  • Rebecca Badgerow Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051208000374 IL Practitioner - Physical Therapist in Private Practice 3577584382 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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 LLCGroup PAC ID 3779617949, 4 clinicians

Practice addresses (Care Compare)

2323 Old Plank Rd
Suite a
Chester, IL 62233-1153
Phone (618) 826-2949

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070008665ILMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Physical Therapy, LLC Orthopedic CurrentSince Jun 20, 2022 Accepting new patients
Apex Physical Therapy, LLC Orthopedic CurrentSince Jun 20, 2022 Accepting new patients
LMT of Illinois, LLC Orthopedic CurrentSince Jun 6, 2022 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

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699847699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 SOUTHWOODS CTR",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622362462",
            "telephone_number": "618-281-0374",
            "fax_number": "618-281-0674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 SOUTHWOODS CTR",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622362462",
            "telephone_number": "618-281-0374",
            "fax_number": "618-281-0674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADGEROW-WATSON",
        "first_name": "REBECCA",
        "credential": "MPT,OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "BADGEROW",
            "credential": "MPT,OCS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Columbia, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.