Individual provider Active NPI

Meghan K Chockley, PT

  • Physical Therapist
  • Peoria, IL
National Provider Identifier
1750487047
Registry record updated Dec 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1524 W Glen Ave
Peoria, IL 61614-4692
Phone
(309) 692-6800
Fax
(309) 692-4478
NPI assigned
Sep 15, 2006
Last updated
Dec 12, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X IL Primary

Addresses

Primary practice location

1524 W Glen Ave
Peoria, IL 61614-4692

Mailing address

3531 W Willow Knolls Dr
Peoria, IL 61614-1078
Phone (309) 683-6900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100921001410 MO Practitioner - Physical Therapist in Private Practice 8921007741 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070015232ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Rehab & Manual Therapy, LLC Physical Therapist CurrentSince Jul 9, 2010 Accepting new patients
JD Nimrick PC Physical Therapist Past Accepting new patients
Health Quest Physical Therapy LLC Past Accepting new patients
Health Quest Physicians Group, LLC Physical Therapist PastSince Apr 26, 2005 Accepting new patients

Locations

1433 Christy Dr
Ste C
Jefferson Cty, MO 65101
Phone (573) 632-6999

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197417600000",
    "number": "1750487047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3531 W WILLOW KNOLLS DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616141078",
            "telephone_number": "309-683-6900",
            "fax_number": "309-683-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 W GLEN AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616144692",
            "telephone_number": "309-692-6800",
            "fax_number": "309-692-4478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOCKLEY",
        "first_name": "MEGHAN",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2007; 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.