Active NPI
Natasha Loera
- Physical Therapy Assistant
- Forsyth, IL
National Provider Identifier
1861074189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 160007900
- Practice address
- 565 W Marion Ave
Forsyth, IL 62535-2099 - Phone
- (217) 872-5899
- NPI assigned
- Apr 26, 2021
- Last updated
- Apr 26, 2021
- 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 Therapy Assistant | 225200000X | 160007900 | IL | Primary |
Addresses
Primary practice location
565 W Marion Ave
Forsyth, IL 62535-2099
Mailing address
409 N Vorcey St
Tolono, IL 61880-9683
Phone (217) 273-1261
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 |
|---|---|---|---|
| 160007900 | IL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619395200000",
"number": "1861074189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 N VORCEY ST",
"city": "TOLONO",
"state": "IL",
"postal_code": "618809683",
"telephone_number": "217-273-1261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "565 W MARION AVE",
"city": "FORSYTH",
"state": "IL",
"postal_code": "625352099",
"telephone_number": "217-872-5899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOERA",
"first_name": "NATASHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-04-26",
"last_updated": "2021-04-26",
"certification_date": "2021-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IL",
"license": "160007900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forsyth, IL
- Anisha Jacob, O.D
- Lake of Decatur, Inc (Colee's Corner Drugs)
- Elizabeth Lambdin, FNP-BC
- Steven H Lane, OD
- Cynthia Marie Lewis, ED.D.
- Luxottica Retail North America Inc (Sears Optical #C0232)
- Gaurav Malik, DDS
- Todd B Messamore, D.C.
- Midwest PCW PT, LLC (ApexNetwork Physical Therapy)
- Patricia Miller, N.P.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.