Ingrid B. Peelle, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

8600 N Route 91
Suite 240
Peoria, IL 61615-0000

Phone

(309) 624-8575

Fax

(309) 624-8566

NPI assigned

Jul 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ingrid B. Dowell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191283200000",
    "number": "1922028075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 NE GLEN OAK AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616370001",
            "telephone_number": "309-655-2000",
            "fax_number": "309-655-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8600 N ROUTE 91",
            "address_2": "SUITE 240",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616150000",
            "telephone_number": "309-624-8575",
            "fax_number": "309-624-8566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEELLE",
        "first_name": "INGRID",
        "middle_name": "B.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INGRID",
            "last_name": "DOWELL",
            "middle_name": "B.",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pamela Pecenka, ANP
• Navya Peddireddy
• Natalie Pedersen, M.D.
• Pediatric Cardiology Associates SC
• Lara Pedretti, O.D.
• Mary Peifer
• Michael Leroy Peil, M.D.
• Mary Ness Pelayo
• Jose Manuel Pena, MD
• Alison Emily Pendergast, LCPC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.