Active NPI
Direct Physiohealth, LLC.
- Physical Therapist
- Decatur, IL
National Provider Identifier
1831758804
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- DIRECT PHYSIOHEALTH, LLC.
- Practice address
- 658 W Sawyer St
Decatur, IL 62526-4059 - Phone
- (312) 219-5440
- Fax
- (866) 895-4081
- NPI assigned
- Jun 12, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melissa Palmer, PT
- Title
- Owner
- Phone
- (312) 219-5440
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
658 W Sawyer St
Decatur, IL 62526-4059
Mailing address
658 W Sawyer St
Decatur, IL 62526-4059
Phone (312) 219-5440
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- West Seneca, NY
- NPI 1780902528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560297600000",
"number": "1831758804",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "658 W SAWYER ST",
"city": "DECATUR",
"state": "IL",
"postal_code": "625264059",
"telephone_number": "312-219-5440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "658 W SAWYER ST",
"city": "DECATUR",
"state": "IL",
"postal_code": "625264059",
"telephone_number": "312-219-5440",
"fax_number": "866-895-4081"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIRECT PHYSIOHEALTH, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-12",
"last_updated": "2019-06-12",
"status": "A",
"authorized_official_last_name": "PALMER",
"authorized_official_first_name": "MELISSA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "312-219-5440",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.