Ida Riva Jamandron Caro, PT
NPI 1104092956ActiveIndividual· Physical Therapist· Herrin, IL
Physical Therapist (PT) in Herrin, Illinois, licensed in IL, with an NPI issued in May 2008.
Overview
| NPI | 1104092956 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | Yes |
| NPI issued | May 1, 2008 |
| Last updated in NPPES | May 1, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 070016280 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other physical therapists in Herrin
- 1164537783
- 1174131015
- 1295511848
- 1437301009
- 1447918123
- 1518152404
- 1245822923
- 1740168848
- 1740816388
- 1356743314
- 1467637223
- 1740616085
All 39 physical therapists in Herrin · All physical therapists in Illinois