Ms Krista J Sheppard, DPT | |
1111 Trinity Ln, Suite 111, Bloomington, IL 61704-8111 | |
(309) 663-6461 | |
(309) 661-8107 |
Full Name | Ms Krista J Sheppard |
---|---|
Gender | Female |
Speciality | Physical Therapy |
Experience | 27 Years |
Location | 1111 Trinity Ln, Bloomington, Illinois |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1669471769 | NPI | - | NPPES |
070.010448 | Other | IL | STATE OF ILLINOIS LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070-010448 (Illinois) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central Illinois Institute Of Balance Llc | 7618072497 | 6 |
Provider Name | Central Illinois Institute Of Balance Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1255478335 PECOS PAC ID: 7618072497 Enrollment ID: O20070424000332 |
Provider Name | Carle West Physician Group Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
Mailing Address | Practice Location Address |
---|---|
Ms Krista J Sheppard, DPT 1111 Trinity Ln, Suite 111, Bloomington, IL 61704-8111 Ph: (309) 663-6461 | Ms Krista J Sheppard, DPT 1111 Trinity Ln, Suite 111, Bloomington, IL 61704-8111 Ph: (309) 663-6461 |
Ms. Mary Claire Biles, PT, MDT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3420 Fax: 309-664-3422 | |
Mrs. Patricia O'meara, MPT, NDT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 309-664-3420 Fax: 309-664-3422 | |
Edward Ericksen, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1111 Trinity Ln Ste 111, Bloomington, IL 61704 Phone: 309-663-6461 | |
Christopher Scot Byers, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 135 N Williamsburg Dr, Bloomington, IL 61704 Phone: 309-661-8823 | |
Ms. Gretchen Dean, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1701 E College Ave, Bloomington, IL 61704 Phone: 217-326-2911 Fax: 217-344-8047 | |
Dr. Alissa Recker, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1111 Trinity Ln, Suite 111, Bloomington, IL 61704 Phone: 309-663-6461 Fax: 309-661-8107 | |
The Therapy Collaborative Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1802 Hackberry Rd, Bloomington, IL 61704 Phone: 309-846-0513 |