Jon A Debord, PT MS ATC SCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070009875 Issued in IL

Practice address

110 E 10TH St
Kewanee, IL 61443-1330

Phone

(309) 852-2200

Fax

(309) 852-2402

NPI assigned

Apr 27, 2006

Last updated

Sep 29, 2026By 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

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kewanee Physical Therapy and Rehab Specialists LLCGroup PAC ID 3971572470, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Kewanee Physical Therapy and Rehab Specialists LLC

  • Occupational Therapist
  • Kewanee, IL
  • NPI 1629081906

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Kewanee Physical Therapy and Rehab Specialists

  • Physical Therapist
  • Kewanee, IL
  • NPI 1376659714
  NPD Authorized official
• Kewanee Physical Therapy and Rehab Specialists

  dba Stark County Physical Therapy and Rehab Specialists

  • Physical Therapist
  • Wyoming, IL
  • NPI 1285740621
  NPD (past) Authorized official

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1740247394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 E 10TH ST",
            "city": "KEWANEE",
            "state": "IL",
            "postal_code": "614431330",
            "telephone_number": "309-852-2200",
            "fax_number": "309-852-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E 10TH ST",
            "city": "KEWANEE",
            "state": "IL",
            "postal_code": "614431330",
            "telephone_number": "309-852-2200",
            "fax_number": "309-852-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBORD",
        "first_name": "JON",
        "middle_name": "A",
        "credential": "PT  MS  ATC  SCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2026-09-29",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070009875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norberto Valle Cruz, PT
• D & D Services Inc (Preferred Pharmacy)
• D & D Services Inc (Preferred Home Health Care Midwest)
• Danielle Dailey
• Dirk Ashley Dawson, DPT
• Lilly A Debord, PT, DPT
• Rebekah Frances Dees-McMahon, D. MIN..
• Dialysis Centers of America - Illinois, Inc. (Fresenius Medical Care Kewanee)
• Susan Renee Draminski, CCC-SLP/L
• Kathleen Marie Effertz-Harger

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.