Individual provider Active NPI

Nathan Lunt

  • Physical Therapist
  • Quincy, IL
National Provider Identifier
1700252053
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0700021751 Issued in IL
Practice address
3032 Broadway St
Quincy, IL 62301-3708
Phone
(217) 222-6800
NPI assigned
Aug 20, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

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 0700021751 IL Primary

Addresses

Primary practice location

3032 Broadway St
Quincy, IL 62301-3708

Mailing address

3032 Broadway St
Quincy, IL 62301-3708
Phone (217) 222-6800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150908001089 IL Practitioner - Physical Therapist in Private Practice 3173839172 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4800 Maine St
Suite 48 100
Quincy, IL 62305-5875
Phone (217) 222-6800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0700021751ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Physical Therapy of Hancock County LLC Physical Therapist CurrentSince Aug 19, 2015 Accepting new patients
Advance Physical Therapy & Sports Medicine of Adams County LLC CurrentSince Aug 19, 2015 Accepting new patients
Advance Physical Therapy & Sports Medicine of Adams County LLC Physical Therapist CurrentSince Aug 19, 2015 Accepting new patients
Advance Physical Therapy & Sports Medicine of Chatham LLC Physical Therapist CurrentSince Jun 28, 2018 Accepting new patients
Advance Physical Therapy & Sports Medicine of Chatham LLC CurrentSince Jun 28, 2018 Accepting new patients
Advance Physical Therapy & Sports Medicine LLC Physical Therapist Past Accepting new patients

Locations

1452 N County Road 2050 E
Carthage, IL 62321
Phone (217) 357-9000

1089 Jason Pl
Chatham, IL 62629
Phone (217) 483-5858

100 W Main St
Mt Sterling, IL 62353
Phone (217) 483-5858

3032 Broadway St
Quincy, IL 62301
Phone (217) 617-3412

4800 Maine St
Ste 48100
Quincy, IL 62305
Phone (218) 316-2937

160 Progress Rd
#111
Hannibal, MO 63401

Organizations & group practices 7

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": "1440028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440028800000",
    "number": "1700252053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3032 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013708",
            "telephone_number": "217-222-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3032 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013708",
            "telephone_number": "217-222-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNT",
        "first_name": "NATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-20",
        "last_updated": "2015-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "0700021751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; 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.