Individual provider Active NPI

Colleen June Macleod

  • Physical Therapist
  • Belleville, IL
National Provider Identifier
1992670962
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.029053 Issued in IL
Practice address
144 Lincoln Place CT Ste 1
Belleville, IL 62221-5878
Phone
(618) 233-5163
NPI assigned
Oct 8, 2025
Last updated
Oct 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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 070.029053 IL Primary

Addresses

Primary practice location

144 Lincoln Place CT Ste 1
Belleville, IL 62221-5878

Mailing address

114 Foxbrush Dr
Belleville, IL 62221-4563

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251107002399 IL Practitioner - Physical Therapist in Private Practice 3072003094 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apex Physical Therapy, LLCGroup PAC ID 2264423458, 104 clinicians

Practice addresses (Care Compare)

144 Lincoln Place CT
Suite 1
Belleville, IL 62221-5878
Phone (618) 233-5163

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.029053ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Apex Physical Therapy, LLC Physical Therapist CurrentSince Oct 13, 2025 Accepting new patients
Apex Physical Therapy, LLC Physical Therapist CurrentSince Oct 13, 2025 Accepting new patients

Locations

1350 Grand Ave
Beardstown, IL 62618
Phone (217) 350-0361

144 Lincoln Place Ct
Ste 1
Belleville, IL 62221
Phone (618) 233-5163

3030 Frank Scott Pkwy W
Ste 9
Belleville, IL 62223
Phone (618) 235-8565

538 Mason Dr
Breese, IL 62230
Phone (618) 623-0580

1095 Belt Line Rd
Ste 400
Collinsville, IL 62234
Phone (618) 477-8550

251 Marketplace Dr
#2
Freeburg, IL 62243
Phone (618) 539-5900

607 Litchfield Rd
Gillespie, IL 62033
Phone (217) 280-4405

4280 S State Route 159
Ste 3
Glen Carbon, IL 62034
Phone (618) 288-4233

4996 S State Route 159
Ste B
Glen Carbon, IL 62034
Phone (618) 288-4677

1503 Lindell Blvd
Granite City, IL 62040
Phone (618) 709-4125

15 Apex Dr
Highland, IL 62249
Phone (618) 441-0482

628 S Madison St
Lebanon, IL 62254
Phone (618) 310-3459

610 S Jefferson St
Mascoutah, IL 62258
Phone (618) 803-4123

4017 State Route 159
Ste 102
Smithton, IL 62285
Phone (618) 222-8155

427 Edwardsville Rd
Ste 2
Troy, IL 62294
Phone (618) 505-1398

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1759881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1992670962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 FOXBRUSH DR",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622214563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 LINCOLN PLACE CT STE 1",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622215878",
            "telephone_number": "618-233-5163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACLEOD",
        "first_name": "COLLEEN",
        "middle_name": "JUNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-08",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.029053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.