Greater Peoria Physical Medicine & Rehab
NPI 1861618829ActiveOrganization· Chiropractor· Peoria, IL
Chiropractor in Peoria, Illinois, registered in NPPES in April 2007. The authorized official on file is Amanda J. King, Chiropractic Assistant. Enrolled in Medicare as dme supplier - multi-specialty - physician and part b supplier - clinic/group practice.
Overview
| NPI | 1861618829 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 18, 2007 |
| Last updated in NPPES | Jun 20, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Multi-Specialty - Physician (IL); Part B Supplier - Clinic/Group Practice (IL) |
|---|
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