Active NPI
Macy Huber, PT
- Physical Therapist
- Quincy, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070024254
- Practice address
- 1118 Hampshire St
Quincy, IL 62301-3027 - Phone
- (217) 222-6550
- Fax
- (217) 277-2253
- NPI assigned
- Jan 3, 2019
- Last updated
- May 12, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2018045498 | MO | |
| Physical Therapist | 225100000X | 070024254 | IL | Primary |
Addresses
Primary practice location
1118 Hampshire St
Quincy, IL 62301-3027
Mailing address
1025 Maine St
Quincy, IL 62301-4096
Phone (217) 222-6550
Other practice location 1
188A Medical Dr
Hannibal, MO 63401-6877
Phone (573) 406-0576
Other practice location 2
320 N Madison St
Pittsfield, IL 62363-1412
Phone (217) 285-9601
Other names 1
- Macy Willer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, IL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1118 Hampshire St
Quincy, IL 62301-3027
Phone (217) 222-6550
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quincy Physicians & Surgeons Clinic, PLLC | Current | Accepting new patients | |
| Advance Hannibal Regional Hospital LLC | Physical Therapist | Current | Accepting new patients |
| Advance Hannibal Regional Hospital, LLC | Physical Therapist | Current | Accepting new patients |
| Quincy Physicians & Surgeons Clinic, PLLC | Current | Accepting new patients | |
| Quincy Physicians & Surgeons Clinic, PLLC | Current | Accepting new patients | |
| Advance PT Therapy of Hannibal LLC | Physical Therapist | Past | Accepting new patients |
Locations
320 N Madison St
Pittsfield, IL 62363
Phone (217) 285-9601
1025 Maine St
Quincy, IL 62301
Phone 21722265503163
1118 Hampshire St
Quincy, IL 62301
710 S Business Highway 61
Ste 100
Bowling Green, MO 63334
Phone (573) 324-6079
160 Progress Rd
#111
Hannibal, MO 63401
188 Medical Dr
#A
Hannibal, MO 63401
Phone (573) 406-0576
188A Medical Dr
Hannibal, MO 63401
Phone (573) 406-0576
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Quincy, IL
- NPI 1548234198
-
- Physical Therapist
- Palmyra, MO
- NPI 1104684703
-
dba Quincy Medical Group Barry Affiliate
- Rural Health Clinic/Center
- Barry, IL
- NPI 1013981547
-
- Durable Medical Equipment & Medical Supplies
- Pittsfield, IL
- NPI 1871794925
-
- Physical Therapist
- Hannibal, MO
- NPI 1124364138
-
dba Advance Physical Therapy & Sports Medicine of Hannibal, LLC
- Physical Therapist
- Hannibal, MO
- NPI 1588678403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652313600000",
"number": "1871066746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 MAINE ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623014096",
"telephone_number": "217-222-6550",
"fax_number": "217-277-2253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1118 HAMPSHIRE ST",
"city": "QUINCY",
"state": "IL",
"postal_code": "623013027",
"telephone_number": "217-222-6550",
"fax_number": "217-277-2253"
}
],
"practiceLocations": [
{
"address_1": "188A Medical Dr",
"address_purpose": "LOCATION",
"city": "Hannibal",
"state": "MO",
"postal_code": "634016877",
"country_code": "US",
"telephone_number": "573-406-0576",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "320 N Madison St",
"address_purpose": "LOCATION",
"city": "Pittsfield",
"state": "IL",
"postal_code": "623631412",
"country_code": "US",
"telephone_number": "217-285-9601",
"fax_number": "217-285-6188",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUBER",
"first_name": "MACY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-01-03",
"last_updated": "2022-05-12",
"certification_date": "2022-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2018045498",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070024254",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MACY",
"last_name": "WILLER",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Quincy, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2022; 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.