Active NPI
Amy Jean Summers, P.T.
- Physical Therapist
- Shelbyville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.016443
- Practice address
- 2100 W South 3Rd Street
Shelbyville, IL 62565 - Phone
- (217) 774-9660
- Fax
- (214) 774-9661
- NPI assigned
- Mar 3, 2006
- 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 | 070.016443 | IL | Primary |
Addresses
Primary practice location
2100 W South 3Rd Street
Shelbyville, IL 62565
Mailing address
2173 County Highway 7
Shelbyville, IL 62565-4172
Phone (270) 205-9724
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Saint Louis University School of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2100 W S 3Rd St
Shelbyville, IL 62565
Phone (217) 774-9660
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.016443 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Physical Therapy | Physical Therapist | Current | Accepting new patients |
| Vandalia Physical Therapy LTD | Physical Therapist | Past | Accepting new patients |
| Biokinetics Inc. | Physical Therapist | Past | Accepting new patients |
| Biokinetics, Inc | Past | Accepting new patients |
Locations
610 E City Route 40
Greenville, IL 62246
Phone (618) 258-9093
7 Emerald Ter
Swansea, IL 62226
Phone (618) 235-0700
126 S 1st St
Vandalia, IL 62471
Phone (618) 283-1634
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 and National Provider Directory roles.
-
- Physical Therapist
- Swansea, IL
- NPI 1659525368
-
- Physical Therapy Clinic/Center
- Vandalia, IL
- NPI 1174585384
Physical Therapist
-
- Physical Therapist
- Calvert City, KY
- NPI 1447264916
-
- Physical Therapy Clinic/Center
- Calvert City, KY
- NPI 1528184470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395187200000",
"number": "1790752178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2173 COUNTY HIGHWAY 7",
"city": "SHELBYVILLE",
"state": "IL",
"postal_code": "625654172",
"telephone_number": "270-205-9724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 W SOUTH 3RD STREET",
"city": "SHELBYVILLE",
"state": "IL",
"postal_code": "62565",
"telephone_number": "217-774-9660",
"fax_number": "214-774-9661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERS",
"first_name": "AMY",
"middle_name": "JEAN",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-03",
"last_updated": "2014-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.016443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelbyville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.