SUE WILLIS (NPI# 1154512291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154512291 |
| Entity Type | Individual |
| Full Name | SUE WILLIS |
| Credential | PTA |
| Practice Address |
7725 N Knoxville Ave Peoria IL 61614-2079 |
| Practice Telephone | 3096939189 |
| Practice Fax Number | 3096939946 |
| Mailing Telephone | 3096939189 |
| Mailing Fax Number | 3096939946 |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992181879 | Sue Willis | Counselor | 811 Madison St, Everett, WA 98203-4543 | 2015-08-03 |
| Street Address |
7725 N KNOXVILLE AVE |
| City | PEORIA |
| State | IL |
| Zip Code | 61614-2079 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184646317 | Robert Adams | Family Medicine | 7725 N Knoxville Ave, Peoria, IL 61614-2079 | 2006-07-24 |
| 1033497581 | Mariola Kabat | Clinical Nurse Specialist | 7725 N Knoxville Ave, Peoria, IL 61614-2079 | 2011-08-02 |
| 1164700183 | Jessica L Secor | Surgery | 7725 N Knoxville Ave, Peoria, IL 61614-2079 | 2011-07-25 |
| 1215170246 | Illinois Surgical Specialists, Ltd | Surgery | 7725 N Knoxville Ave, Peoria, IL 61614-2079 | 2009-04-07 |
| 1700077849 | Rhonda Heaton | Physical Therapy Assistant | 7725 N Knoxville Ave, Peoria, IL 61614-2079 | 2007-08-05 |
| 1467571547 | Melissa Larson | Speech-Language Pathologist | 7725 N Knoxville Ave, Peoria, IL 61614-2079 | 2007-03-28 |
| 1316066582 | Brandi Osborn | Speech-Language Pathologist | 7725 N Knoxville Ave, Peoria, IL 61614-2079 | 2007-03-28 |
| 1801932496 | Lanae L Huang | Physical Therapist | 7725 N Knoxville Ave, Lower Level, Peoria, IL 61614-2079 | 2007-01-30 |
| 1538210869 | Alison A Salisbury | Physical Therapist | 7725 N Knoxville Ave, Peoria, IL 61614-2079 | 2007-01-15 |
| 1174539761 | John Miller | Family Medicine | 7725 N Knoxville Ave, Peoria, IL 61614-2079 | 2006-08-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548818511 | Christine Svoboda | Social Worker | 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 | 2019-09-03 |
| 1639649007 | Kathy Karouzos Counseling, LLC | Clinic/Center | 330 W. Ivy Ln., Peoria, IL 61614 | 2018-11-28 |
| 1205312790 | Kathleen Marie Hendricks | Nurse Practitioner | 2809 W Willow Knolls Dr, Peoria, IL 61614 | 2018-07-17 |
| 1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
| 1861937955 | Angela Gilles | Social Worker | 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 | 2016-12-27 |
| 1467994897 | Melissa Saxsma | Specialist | 5009 N Executive Dr, Peoria, IL 61614 | 2016-11-16 |
| 1902258874 | Rashid Plastic Surgery, LLC | Plastic Surgery | 804 W Trailcreek Drive, Peoria, IL 61614 | 2016-07-05 |
| 1215313143 | Melissa Lynn Phelan | Nurse Practitioner | 122 E Morningside Dr, Peoria, IL 61614 | 2015-08-03 |
| 1811380165 | All Ways Caring Services, Inc. | In Home Supportive Care | 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 | 2015-03-11 |
| 1568875920 | Schuler & Arkwell Orthodontic Partnership | Dentist | 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 | 2014-06-03 |
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| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871078899 | Jacqueline Doris Monckton | Physical Therapy Assistant | 5037 N Edgebrook Dr, Peoria, IL 61614-4826 | 2018-09-25 |
| 1962994012 | Reach for The Stars Pediatric Therapy Pllc | Physical Therapy Assistant | 8662 W Lariat Ln, Peoria, AZ 85383 | 2018-06-05 |
| 1821520917 | Sterling Hester Jr. | Physical Therapy Assistant | 16020 N 90th Ave, Peoria, AZ 85382-3746 | 2017-03-29 |
| 1073970422 | Katie Eckert | Physical Therapy Assistant | 111 E Maywood Ave, Peoria, IL 61603-1751 | 2016-01-15 |
| 1700255957 | Rhona Moonier | Physical Therapy Assistant | 13224 W Lariat Ln, Peoria, AZ 85383-5900 | 2015-09-17 |
| 1477921211 | Hannah Zargar | Physical Therapy Assistant | 16123 N 90th Ave, Peoria, AZ 85382-3748 | 2015-09-10 |
| 1699015693 | Nirali Patel | Physical Therapy Assistant | 24158 N 73rd Ln, Peoria, AZ 85383-3290 | 2013-02-27 |
| 1720367063 | Amber Nicole Kingery Masters | Physical Therapy Assistant | 1315 N Bourland Ave, Peoria, IL 61606-1214 | 2011-08-04 |
| 1730780842 | Andrea Wainright | Physical Therapy Assistant | 3535 N Rochelle Ln, Peoria, IL 61604-1036 | 2020-11-04 |
| 1164022398 | Aleshka Grusy | Physical Therapy Assistant | 6901 N Galena Rd, Peoria, IL 61614-3193 | 2020-10-27 |
| Find all providers in PEORIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.