Rock Valley Physical Therapy Center
NPI 1891171047ActiveOrganization· Physical Therapist· Peoria, IL
Physical Therapist in Peoria, Illinois, registered in NPPES in August 2015. The authorized official on file is Randall E. Boldt, PT, Pt, Cfo.
Overview
| NPI | 1891171047 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 10, 2015 |
| Last updated in NPPES | Feb 11, 2021 |
| Certified by provider | Feb 11, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
| Occupational Therapist | 225X00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Physical Therapist providers in Peoria
- 1275927360
- 1689069890
- 1700270899
- 1821553702
- 1336150283
- 1053927640
- 1083132088
- 1477871101
- 1790220283
- 1568437747
- 1568073872
- 1134394919