Colin Jacob Overstreet, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.019280 Issued in IL

Practice address

1104 W Main St
Benton, IL 62812-1565

Phone

(618) 439-3399

Fax

(618) 439-4801

NPI assigned

Aug 13, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rci (WRS), LLC.

  dba RUSH Physical Therapy

  • Physical Therapy Clinic/Center
  • Mount Prospect, IL
  • NPI 1417561655

  Physical Therapist

  Medicare reassignment NPD
• Select Physical Therapy Holdings, Inc.

  dba NovaCare Rehabilitation

  • Rehabilitation Clinic/Center
  • Benton, IL
  • NPI 1992352215
  Medicare reassignment NPD
• Rci (WRS) Inc.

  dba NovaCare Rehabilitation

  • Physical Therapy Clinic/Center
  • Mount Prospect, IL
  • NPI 1417470956
  NPD
• Rci (WRS), LLC

  • Physical Therapy Clinic/Center
  • Mokena, IL
  • NPI 1568160950
  NPD
• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Chicago, IL
  • NPI 1942475488

  Physical Therapist

  NPD
• Select Physical Therapy Holdings Inc

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Ashland, VA
  • NPI 1174591218
  NPD

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

{
    "created_epoch": "1344816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344816000000",
    "number": "1720335458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 W MAIN ST",
            "city": "BENTON",
            "state": "IL",
            "postal_code": "628121565",
            "telephone_number": "618-439-3399",
            "fax_number": "618-439-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 W MAIN ST",
            "city": "BENTON",
            "state": "IL",
            "postal_code": "628121565",
            "telephone_number": "618-439-3399",
            "fax_number": "618-439-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERSTREET",
        "first_name": "COLIN",
        "middle_name": "JACOB",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-13",
        "last_updated": "2012-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.019280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• National Healthcare of Mt Vernon Inc (Crossroads Clinic)
• National Healthcare of Mt Vernon Inc (Crossroads Family Medicine of Benton)
• National Healthcare of Mt Vernon Inc (Crossroads Family Medicine of Benton)
• Valentine Ogbodo, MD
• Christopher J Ostromecki, M.D.
• Jason Scott Ozbourn
• Lisa Page
• Patcholo Yap Paglinawan, PT
• Robert Parks, M.D.
• Petersen Health Operations, LLC (Benton Rehabilitation & Health Care Center)

• Physical Therapist in Benton, IL
• Providers in Benton, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.