NPIMap

Organization Active NPI

United Physical Therapy, LLC

  • Physical Therapist
  • Peru, IL
National Provider Identifier
1992832489
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
UNITED PHYSICAL THERAPY, LLC
Practice address
2200 Marquette Rd
Suite 111
Peru, IL 61354-1547
Phone
(815) 220-8787
Fax
(815) 220-8790
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Sondra Lanelle Blocki, PTNPI 1811963713
Title
Owner
Phone
(815) 220-8787

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X IL Primary

Addresses

Primary practice location

2200 Marquette Rd
Suite 111
Peru, IL 61354-1547

Mailing address

2200 Marquette Rd
Suite 111
Peru, IL 61354-1547
Phone (815) 220-8787

Other identifiers 1

IdentifierTypeStateIssuer
05032044OtherILBCBS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992832489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 MARQUETTE RD",
            "address_2": "SUITE 111",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613541547",
            "telephone_number": "815-220-8787",
            "fax_number": "815-220-8790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 MARQUETTE RD",
            "address_2": "SUITE 111",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613541547",
            "telephone_number": "815-220-8787",
            "fax_number": "815-220-8790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLOCKI",
        "authorized_official_first_name": "SONDRA",
        "authorized_official_middle_name": "LANELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-220-8787",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "05032044",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peru, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.