Active NPI
Aimee Kathleen Range, P.T.
- Physical Therapist
- Red Bud, IL
National Provider Identifier
1720325376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070012227
- Practice address
- 325 Spring St
Red Bud, IL 62278-1105 - Phone
- (618) 282-5172
- Fax
- (618) 282-3596
- NPI assigned
- Jan 15, 2013
- Last updated
- Jan 15, 2013
- 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 | 070012227 | IL | Primary |
Addresses
Primary practice location
325 Spring St
Red Bud, IL 62278-1105
Mailing address
3614 Fossil Creek LN
Waterloo, IL 62298-4650
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070012227 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1358208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358208000000",
"number": "1720325376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3614 FOSSIL CREEK LN",
"city": "WATERLOO",
"state": "IL",
"postal_code": "622984650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 SPRING ST",
"city": "RED BUD",
"state": "IL",
"postal_code": "622781105",
"telephone_number": "618-282-5172",
"fax_number": "618-282-3596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANGE",
"first_name": "AIMEE",
"middle_name": "KATHLEEN",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-15",
"last_updated": "2013-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070012227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Red Bud, IL
- Christy Palm
- Perandoe Special Education District
- Jeffry Lynes Peterson, CRNA
- Caitlin Poston, M.S. CCC-SLP
- Rachel Gibson Inc. (Gibson's Discount Drugs)
- Red Bud Clinic Corp
- Red Bud Comm Unit School Dist 132
- Red Bud Home Care Services, LLC (Red Bud Regional Home Care)
- Red Bud Illinois Hospital Company LLC (Red Bud Health Clinic)
- Red Bud Illinois Hospital Company LLC (Red Bud Regional Hospital)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.