Michael P Irving, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.011590 Issued in IL

Practice address

200 S 3Rd St
Greenville, IL 62246-1731

Phone

(618) 664-9720

Fax

(618) 664-9721

NPI assigned

Sep 18, 2013

Last updated

Jan 6, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Phoenix Physical TherapyGroup PAC ID 5991861049, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Phoenix Physical Therapy

  • Physical Therapist
  • Swansea, IL
  • NPI 1659525368
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1891121174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S 3RD ST",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622461731",
            "telephone_number": "618-664-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S 3RD ST",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622461731",
            "telephone_number": "618-664-9720",
            "fax_number": "618-664-9721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRVING",
        "first_name": "MICHAEL",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-09-18",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.011590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Hughey-Rasler, PH.D.
• Sarah Lynn Hulbert, LCSW
• Kamran Hussaini, M.D.
• Illiana Emergency Physicians LLP
• Illinois Hospitalists LLP
• Jayla Jack, PHARMD, RPH
• Angela Veanne Jarrett, APRN
• Benjamin Jarrett, MD
• Ryan L Jennings, M.D.
• Kathleen Alma Johnson, NP

• Physical Therapist in Greenville, IL
• Providers in Greenville, 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 6, 2025; 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.

Verify at the official NPI Registry.