Active NPI
Michael Alcaraz
- Physical Therapist
- Kewanee, IL
National Provider Identifier
1760895411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070002775
- Practice address
- 814 Birch PL
Kewanee, IL 61443-2658 - Phone
- (309) 453-6660
- NPI assigned
- Jun 10, 2014
- Last updated
- Jun 10, 2014
- Sex
- Male
- Sole proprietor
- Yes
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 | 070002775 | IL | Primary |
Addresses
Primary practice location
814 Birch PL
Kewanee, IL 61443-2658
Mailing address
814 Birch PL
Kewanee, IL 61443-2658
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070002775 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402358400000",
"number": "1760895411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "814 BIRCH PL",
"city": "KEWANEE",
"state": "IL",
"postal_code": "614432658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "814 BIRCH PL",
"city": "KEWANEE",
"state": "IL",
"postal_code": "614432658",
"telephone_number": "309-453-6660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALCARAZ",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-06-10",
"last_updated": "2014-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070002775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kewanee, IL
- Abilities Plus
- Accessing Your Abilities, Inc.
- Advanced Physical Therapy Services, LTD. (Advanced Rehab and Sports Medicine)
- Ahearn & Associates Medical Center, Inc
- Michael A Ahearn, MD
- Maryam Alqaraghuli, DDS
- Applewhite Dental Illinois, P.C. (Kisner Dentistry)
- Arcadia Care Kewanee LLC (Arcadia Care Kewanee)
- Arcadia Care Kewanee LLC (Arcadia Care Kewanee)
- Ali Jon Asadi, DPT, MTC, CSCS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.