MR. EDWARD LEE PONCE (PT) – Physical Medicine & Rehabilitation Physician, NPI 1528176138

Physical Medicine & Rehabilitation Physician

MR. EDWARD LEE PONCE (PT) is a healthcare provider. based in Bloomington, Illinois. specializing in Physical Medicine & Rehabilitation Physician. They hold the professional credentials PT. They hold a License No. 070010014 (IL). The NPI Number for MR. EDWARD LEE PONCE (PT) is 1528176138

Main info

Male

30 Years Of Experience

Accepts Medicare Assignment

Name

MR. EDWARD LEE PONCE (PT)

NPI

1528176138

Phone

(309) 663-6461

Address

1111 TRINITY LN STE 111

Enumeration Date

25 August 2006

Last Update Date

4 January 2018

Doctor Profile

Medical School Name

OTHER

Secondary Phone

30966364611273

Graduation Year

1996 (30 years ago)

PAC ID

2567463326

Group Practice PAC ID

2860480134

Professional Enrollment ID

I20070122000198

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience61

Completeness75

Years active:19State licenses:2Digital endpointsOther names

Loading map...

Provider Addresses for MR. EDWARD LEE PONCE (PT)

Trinity Lane, Bloomington, McLean County, Illinois, 61704-2534, United States
BLOOMINGTON, IL 617048112
Phone: (309) 663-6461
Fax: (309) 663-5711
Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCS	Description	Services	Beneficiaries	Medicare allowed
97110	Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	46	14	$0

View full utilization report →

Insurance plans in this area (ZIP 61704)

Loading plans...

Provider's Procedures

MR. EDWARD LEE PONCE (PT) performs procedures in Physical Medicine & Rehabilitation Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
PHYSICAL THERAPY	IL	97110	Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	74	20

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.

PAC ID: 2860480134View full group profile

Name	Specialty	State
COURTNEY YAMADA (PT, MS)	-	IL
MARY A MEISMER (OTR/L, CHT (NBCOT))	-	IL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I use this page to confirm MR. EDWARD LEE PONCE (PT)'s NPI?

Yes. MR. EDWARD LEE PONCE (PT) is listed with NPI 1528176138 in the public NPI dataset.

Does the file indicate MR. EDWARD LEE PONCE (PT) is practicing under active NPI?

Directory data currently reports MR. EDWARD LEE PONCE (PT) as active.

What is MR. EDWARD LEE PONCE (PT) best known for clinically?

Directory data describes MR. EDWARD LEE PONCE (PT) with Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.

Where is MR. EDWARD LEE PONCE (PT) based?

MR. EDWARD LEE PONCE (PT) is tied to Bloomington, Illinois in the data we show; additional addresses may exist on the full record.

Is specialty guaranteed by NPI alone?

Taxonomy selections describe intent; scope of practice still follows state law.