Individual provider Active NPI

Eulogio I Talili, PT

  • Physical Therapist
  • Peoria, IL
National Provider Identifier
1972064368
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.006966 Issued in IL
Practice address
5600 N Glen Elm Dr
Peoria, IL 61614-4340
Phone
(309) 693-8777
NPI assigned
Mar 27, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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 070.006966 IL Primary

Addresses

Primary practice location

5600 N Glen Elm Dr
Peoria, IL 61614-4340

Mailing address

6323 Crosswynd CT
Edwards, IL 61528-7517

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210813001033 IL Practitioner - Physical Therapist in Private Practice 4587068499 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Savoy Therapy Services IncGroup PAC ID 8921260506, 13 clinicians

Practice addresses (Care Compare)

415 N Dunlap Ave
Unit 452
Savoy, IL 61874-1032
Phone (217) 898-8393

501 Trefoil
Savoy, IL 61874-8511

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation Illinois, LLC Physical Therapist CurrentSince Jul 21, 2021 Accepting new patients
Savoy Therapy Services Inc Physical Therapist CurrentSince Dec 19, 2022 Accepting new patients
Empowerme Rehabilitation Illinois, LLC Physical Therapist CurrentSince Jul 21, 2021 Accepting new patients
Adaptive Rehabilitation Clinics, LLC Physical Therapist Past Accepting new patients
Illinois Post-Acute Medical Services 1 PC PastSince Apr 20, 2023 Accepting new patients
Select Rehabilitation, LLC Physical Therapist Past Accepting new patients

Locations

7108 Marine Rd
Edwardsville, IL 62025
Phone (618) 706-9759

415 N Dunlap Ave
Unit 452
Savoy, IL 61874
Phone (217) 898-8393

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

Organizations & group practices 6

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": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1972064368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6323 CROSSWYND CT",
            "city": "EDWARDS",
            "state": "IL",
            "postal_code": "615287517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 N GLEN ELM DR",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616144340",
            "telephone_number": "309-693-8777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALILI",
        "first_name": "EULOGIO",
        "middle_name": "I",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.006966",
            "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 Mar 27, 2019; 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.