Provider Type Icon

CARLY MICHELLE MACHACEK DPT NPI 1700446721


NPI Information

NPI: 1700446721
Provider Name: CARLY MICHELLE MACHACEK, DPT
Classification: Physical Therapist - 2251X0800X
Entity Type: Individual

Specialization: Orthopedic

Address:
9901 N KNOXVILLE AVE STE D
PEORIA, IL
ZIP 61615
Phone: (309) 243-1989
Get Directions

Carly Michelle Machacek, DPT is an orthopedic physical therapist in Peoria, IL with 5 years of experience. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. Carly Michelle Machacek, DPT NPI is 1700446721. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9901 N KNOXVILLE AVE STE D
PEORIA, IL
ZIP 61615-433
Phone: (309) 243-1989

The enumeration date for this NPI number is 6/20/2019 and was last updated on 3/7/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225100000XPhysical TherapistNo
22251X0800XPhysical TherapistOrthopedic11-06393KANSASNo
32251X0800XPhysical TherapistOrthopedic2019031259MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.