Unknown Individual – Physical Therapist, NPI 1700214483

Unknown Individual is a healthcare provider. based in Godfrey, Illinois. specializing in Physical Therapist. They hold a License No. 070.004832 (IL). The NPI Number for Unknown Individual is 1700214483

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1700214483
Phone
(618) 978-4860
Address
4700 LEVIS LN
Deactivation Date
8 May 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 4700 LEVIS LN

    GODFREY, IL 620351382

    Phone: (618) 978-4860

    Type: Mailing

  • 1373 DADRIAN PROFESSIONAL PARK

    GODFREY, IL 620351767

    Phone: (618) 208-2784

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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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.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62035)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1700214483 on file in the registry.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Godfrey?
Public fields place Unknown Individual around Godfrey, Illinois. Always confirm the exact site before visiting.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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