Individual provider Active NPI

Janice C Sigulas, P. T.

  • Physical Therapist
  • Pekin, IL
National Provider Identifier
1790836849
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070005911 Issued in IL
Practice address
2351 Broadway St
Pekin, IL 61554-3972
Phone
(309) 353-5940
Fax
(309) 353-1654
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2010

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 070005911 IL Primary

Addresses

Primary practice location

2351 Broadway St
Pekin, IL 61554-3972

Mailing address

2351 Broadway St
Pekin, IL 61554-3972
Phone (309) 353-5940

Other identifiers 2

IdentifierTypeStateIssuer
10760553OtherILCAQH PROVIDER ID
P00191172OtherILRRMC NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040721000659 IL Practitioner - Physical Therapist in Private Practice 8325028301 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070005911ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Therapy Services, Inc Physical Therapist CurrentSince Mar 29, 2004 Accepting new patients
Brendon J Johnson, OD, PC Past Accepting new patients

Locations

2900 Frank Scott Pkwy W
Ste 930
Belleville, IL 62223
Phone (618) 222-9383

1909 N Morton Ave
Morton, IL 61550
Phone (309) 263-9124

2988 Court St
Pekin, IL 61554
Phone (309) 347-5989

2351 Broadway St
Pekin, IL 61554
Phone (309) 353-4159

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1790836849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2351 BROADWAY ST",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615543972",
            "telephone_number": "309-353-5940",
            "fax_number": "309-353-1654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2351 BROADWAY ST",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615543972",
            "telephone_number": "309-353-5940",
            "fax_number": "309-353-1654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGULAS",
        "first_name": "JANICE",
        "middle_name": "C",
        "credential": "P. T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070005911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH PROVIDER ID",
            "identifier": "10760553",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC NUMBER",
            "identifier": "P00191172",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pekin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; 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.