Advanced Motion Physical Therapy. PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ADVANCED MOTION PHYSICAL THERAPY. PLLC

Practice address

4227 Maray Dr Ste 3
Rockford, IL 61107-4977

Phone

(815) 608-2592

Fax

(815) 339-0329

NPI assigned

Jan 16, 2024

Last updated

Dec 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katie Dixon, DPTNPI 1821567470

Title

Physical Therapist/Owner

Phone

(815) 608-2592

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katie E Dixon, DPT

  • Physical Therapist
  • Rockford, IL
  • NPI 1821567470
  NPD Authorized official

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1891566097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6149 WINDSOR RD",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611114448",
            "telephone_number": "815-608-2592",
            "fax_number": "815-339-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4227 MARAY DR STE 3",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611074977",
            "telephone_number": "815-608-2592",
            "fax_number": "815-339-0329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MOTION PHYSICAL THERAPY. PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "815-608-2592",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.