Individual provider Active NPI

Rachel Merideth, DPT

  • Physical Therapist
  • Decatur, IL
National Provider Identifier
1720401557
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070021389 Issued in IL
Practice address
535 W Eldorado St
Decatur, IL 62522-2117
Phone
(217) 528-7541
NPI assigned
Jan 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 20140004333 MO
Physical Therapist 225100000X 070021389 IL Primary

Addresses

Primary practice location

535 W Eldorado St
Decatur, IL 62522-2117

Mailing address

PO Box 19248
Springfield, IL 62794-9248
Phone (217) 528-7541

Other practice location 1

8570 Saint Lukes Dr
Beardstown, IL 62618-9200
Phone (217) 323-9480

Other identifiers 1

IdentifierTypeStateIssuer
070021389OtherILSTATE OF ILLINOIS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190222001871 IL Practitioner - Physical Therapist in Private Practice 1557584091 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Comprehensive Therapeutics LTDGroup PAC ID 8921230137, 324 clinicians

Practice addresses (Care Compare)

1015 Oconor Ave
La Salle, IL 61301-1216
Phone (224) 616-5446

875 W McKinley Ave
Decatur, IL 62526-3287
Phone (217) 615-2523

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070021389ILMDPhysical Therapist
20140004333MOMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Therapeutics LTD Physical Therapist CurrentSince Aug 24, 2021 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Physical Therapist CurrentSince Apr 10, 2018 Accepting new patients
Comprehensive Therapeutics LTD Physical Therapist CurrentSince Aug 24, 2021 Accepting new patients
Empowerme Wellness Kansas City, LLC CurrentSince Aug 19, 2022 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Physical Therapist CurrentSince Apr 10, 2018 Accepting new patients
Empowerme Wellness Kansas City, LLC Physical Therapist CurrentSince Aug 19, 2022 Accepting new patients
At Home by Enhance Therapies LLC Physical Therapist CurrentSince Apr 1, 2024 Accepting new patients

Locations

1021 W E St
Belleville, IL 62220
Phone (618) 233-2095

136 S Dipper Ln
Decatur, IL 62522
Phone (217) 428-7767

7108 Marine Rd
Edwardsville, IL 62025
Phone (618) 706-9759

1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446

7358 N Lincoln Ave
Ste 160
Lincolnwood, IL 60712
Phone (847) 983-8750

505 E Vernon Ave
Normal, IL 61761
Phone (309) 223-3026

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

400 Route 70
Lakewood, NJ 08701
Phone (732) 802-7512

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": "1391040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1720401557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19248",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627949248",
            "telephone_number": "217-528-7541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 W ELDORADO ST",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625222117",
            "telephone_number": "217-528-7541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8570 Saint Lukes Dr",
            "address_purpose": "LOCATION",
            "city": "Beardstown",
            "state": "IL",
            "postal_code": "626189200",
            "country_code": "US",
            "telephone_number": "217-323-9480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERIDETH",
        "first_name": "RACHEL",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-30",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MO",
            "license": "20140004333",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070021389",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ILLINOIS",
            "identifier": "070021389",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.