Neill McDonald, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160002076 Issued in IL

Practice address

812 Airport Rd
Godfrey, IL 62035-2920

Phone

(618) 466-2134

NPI assigned

Nov 29, 2021

Last updated

Nov 29, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1730847567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 FORD ST",
            "city": "FREEBURG",
            "state": "IL",
            "postal_code": "622432506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 AIRPORT RD",
            "city": "GODFREY",
            "state": "IL",
            "postal_code": "620352920",
            "telephone_number": "618-466-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "NEILL",
        "credential": "LPTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160002076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Marchello
• Emily Suzanne Martin, D.M.D.
• Norman Petronio Martinez Sr., DDS
• Bradley D Martinson, OD
• James Mathus, D.M.D.
• Kathryn F McKenna, NP
• Melanie Means
• Katie Ann Medford, PHARMD
• James Edward Merkle, D.M.D.
• Melissa Merkle, COTA

• Physical Therapy Assistant in Godfrey, IL
• Providers in Godfrey, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.