Individual provider Active NPI

Cynthia J Rankin, P. T.

  • Physical Therapist
  • Peoria, IL
National Provider Identifier
1952452013
Registry record updated Apr 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070003209 Issued in IL
Practice address
2338 W Sud Pkwy
Suite 3100
Peoria, IL 61615-7482
Phone
(309) 693-9189
Fax
(309) 693-9946
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070003209 IL Primary

Addresses

Primary practice location

2338 W Sud Pkwy
Suite 3100
Peoria, IL 61615-7482

Mailing address

2338 W Sud Pkwy
Suite 3100
Peoria, IL 61615-7482
Phone (309) 693-9189

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031211000435 IL Practitioner - Physical Therapist in Private Practice 6103722970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
R Franklin University of Med & Sci/Chicago Medical School, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Professional Therapy Services IncGroup PAC ID 0345145843, 17 clinicians

Practice addresses (Care Compare)

1909 N Morton Ave
Morton, IL 61550-1426
Phone (309) 266-5488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070003209ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Therapy Services, Inc Physical Therapist CurrentSince Aug 29, 2003 Accepting new patients

Locations

2900 Frank Scott Pkwy W
Ste 930
Belleville, IL 62223
Phone (618) 222-9383

1909 N Morton Ave
Morton, IL 61550
Phone (309) 263-9124

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271116800000",
    "number": "1952452013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2338 W SUD PKWY",
            "address_2": "SUITE 3100",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616157482",
            "telephone_number": "309-693-9189",
            "fax_number": "309-693-9946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2338 W SUD PKWY",
            "address_2": "SUITE 3100",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616157482",
            "telephone_number": "309-693-9189",
            "fax_number": "309-693-9946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANKIN",
        "first_name": "CYNTHIA",
        "middle_name": "J",
        "credential": "P. T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2010-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070003209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; 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.