Midwest Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MIDWEST PHYSICAL THERAPY

Practice address

513 4TH Ave
Rochelle, IL 61068-1510

Phone

(815) 561-8786

Fax

(815) 561-8786

NPI assigned

Jan 15, 2008

Organization subpart

No

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

Authorized official

Name

Peter Smith

Title

Billing Agent

Phone

(815) 965-8505

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Riazulla Khan

  • Physical Therapist
  • Rochelle, IL
  • NPI 1639177264
  NPD (past)

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1871779264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 4TH AVE",
            "city": "ROCHELLE",
            "state": "IL",
            "postal_code": "610681510",
            "telephone_number": "815-561-8786",
            "fax_number": "815-561-8786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 4TH AVE",
            "city": "ROCHELLE",
            "state": "IL",
            "postal_code": "610681510",
            "telephone_number": "815-561-8786",
            "fax_number": "815-561-8786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "815-965-8505"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "07132019",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medcare Health Center LTD
• Clarisa Medina Poeliniz, APN
• Dana Meyers, L.M.T.
• Kourtnee Jo Mezo
• Michael J. Monfils, M.D., L.L.C.
• Payton Mifflin
• Seyed Hamed Mirzamani, DMD
• Mlsna Family Eye Care SC (Rochelle Eye Care Center)
• Reid E Mlsna, OD
• Michael J. Monfils, M.D.

• Physical Therapist in Rochelle, IL
• Providers in Rochelle, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2008; 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.