Active NPI
Meghan K Chockley, PT
- Physical Therapist
- Peoria, IL
National Provider Identifier
1750487047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- 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, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070015232 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hill Rehab & Manual Therapy, LLC | Physical Therapist | Current | 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 | Past | 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.
-
- Physical Therapy Clinic/Center
- Jefferson City, MO
- NPI 1780841346
-
- Physical Therapist
- Jefferson City, MO
- NPI 1801989876
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.