Rock Valley Physical Therapy Center
NPI 1245373166ActiveOrganization· Physical Therapist· Moline, IL
Physical Therapist in Moline, Illinois, registered in NPPES in February 2007. The authorized official on file is Randy E. Boldt, Cfo. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice and dme supplier - independently-practicing physical therapist.
Overview
| NPI | 1245373166 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 14, 2007 |
| Last updated in NPPES | Jul 29, 2026 |
| Certified by provider | Jul 29, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | IA |
| Physical Therapist | 225100000X | — | IL |
| Occupational Therapist | 225X00000X | — | IA |
| Occupational Therapist | 225X00000X | — | IL |
| Speech-Language Pathologist | 235Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (IA); DME Supplier - Independently-Practicing Physical Therapist (IL); Part B Supplier - Physical/Occupational Therapy Group in Private Practice (IL); Part B Supplier - Physical/Occupational Therapy Group in Private Practice (NE); Part B Supplier - Physical/Occupational Therapy Group in Private Practice (SD) |
|---|
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