Individual provider Active NPI

Margaret Timmermann, PT

  • Physical Therapist
  • Breese, IL
National Provider Identifier
1821352402
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.009665 Issued in IL
Practice address
380 S Germantown Rd
Breese, IL 62230-2088
Phone
(618) 526-9311
Fax
(877) 420-7862
NPI assigned
Jun 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2023

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 070.009665 IL Primary

Addresses

Primary practice location

380 S Germantown Rd
Breese, IL 62230-2088

Mailing address

380 S Germantown Rd
Breese, IL 62230-2088
Phone (618) 526-9311

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210104000429 IL Practitioner - Physical Therapist in Private Practice 6406269802 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

380 S Germantown Rd
Breese, IL 62230-2088
Phone (618) 526-9322

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.009665ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Across All Ages Physical Therapy LLC Physical Therapist CurrentSince Jan 13, 2023 Accepting new patients
SSM Select Rehab St. Louis, LLC CurrentSince Sep 14, 2025 Accepting new patients

Locations

380 S Germantown Rd
Ste A
Breese, IL 62230

380 S Germantown Rd
Breese, IL 62230
Phone (618) 526-9311

3572 Solutions Ctr
Chicago, IL 60677

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": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1821352402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 S GERMANTOWN RD",
            "city": "BREESE",
            "state": "IL",
            "postal_code": "622302088",
            "telephone_number": "618-526-9311",
            "fax_number": "877-420-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 S GERMANTOWN RD",
            "city": "BREESE",
            "state": "IL",
            "postal_code": "622302088",
            "telephone_number": "618-526-9311",
            "fax_number": "877-420-7862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMMERMANN",
        "first_name": "MARGARET",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.009665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Breese, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; 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.

Verify at the official NPI Registry.