Individual provider Active NPI

Kevin Erbe, PTA

  • Physical Therapy Assistant
  • Rockford, IL
National Provider Identifier
1871079053
Registry record updated Jul 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
160.008026 Issued in IL
Practice address
6451 E Riverside Blvd # 103
Rockford, IL 61114-4421
Phone
(815) 639-9900
Fax
(815) 639-9860
NPI assigned
Jul 11, 2018
Last updated
Jul 11, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 160.008026 IL Primary

Addresses

Primary practice location

6451 E Riverside Blvd # 103
Rockford, IL 61114-4421

Mailing address

6451 E Riverside Blvd # 103
Rockford, IL 61114-4421
Phone (815) 639-9900

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

LicenseStateTypeSpecialty
160.008026ILMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cevene Care Clinic, Inc PastSince Aug 1, 2007 Accepting new patients
Heit Health and Wellness Center Inc Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1531267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531267200000",
    "number": "1871079053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6451 E RIVERSIDE BLVD # 103",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611144421",
            "telephone_number": "815-639-9900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6451 E RIVERSIDE BLVD # 103",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611144421",
            "telephone_number": "815-639-9900",
            "fax_number": "815-639-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERBE",
        "first_name": "KEVIN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-11",
        "last_updated": "2018-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.008026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.