Active NPI
Stephen Scott Higgins, PT
- Physical Therapist
- Macomb, IL
National Provider Identifier
1932108636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-006841
- Practice address
- 130 S Lafayette St
Macomb, IL 61455-2289 - Phone
- (309) 836-2500
- Fax
- (309) 836-2501
- NPI assigned
- Jul 15, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070-006841 | IL | Primary |
Addresses
Primary practice location
130 S Lafayette St
Macomb, IL 61455-2289
Mailing address
130 S Lafayette St
Macomb, IL 61455-3825
Phone (309) 836-2500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-006841 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois Centers for Pain and Rehab, SC | Current | Accepting new patients | |
| Advanced Physical Therapy Services, LTD | Physical Therapist | Past | Accepting new patients |
| Advanced Physical Therapy Services, LTD. | Physical Therapist | Past | Accepting new patients |
Locations
3400 Griffin Ave
Pekin, IL 61554
Phone (309) 244-7700
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Pekin, IL
- NPI 1689860975
-
- Physical Therapist
- Bloomington, IL
- NPI 1437141504
-
- Physical Therapist
- Macomb, IL
- NPI 1336307115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652918400000",
"number": "1932108636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 S LAFAYETTE ST",
"city": "MACOMB",
"state": "IL",
"postal_code": "614553825",
"telephone_number": "309-836-2500",
"fax_number": "309-836-2501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 S LAFAYETTE ST",
"city": "MACOMB",
"state": "IL",
"postal_code": "614552289",
"telephone_number": "309-836-2500",
"fax_number": "309-836-2501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIGGINS",
"first_name": "STEPHEN",
"middle_name": "SCOTT",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-15",
"last_updated": "2022-05-19",
"certification_date": "2022-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-006841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Macomb, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.