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Active NPI 1275888430 Individual Practitioner Female Practitioner

Joan K Koolidge , MPT

Specialist • Rochelle, IL

Professional Overview & Biography Verified Profile Summary

Joan Koolidge, MPT is a registered healthcare professional specializing in Specialist in Rochelle, IL. Practice services are available at 900 N 2ND ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

900 N 2nd St

Rochelle, IL 610681764

Telephone 8157580000
Fax 8157483014
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Rochelle, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 38.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Rochelle, IL (1322 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License IL 070009450

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Katherine Jones , OT

Occupational Therapist - Physical Rehabilitation

NPI 1003327172

Occupational Therapist

Jason Hiatt , MPT

Physical Therapist - Orthopedic

NPI 1053418087

Master of Physical Therapy

Dr. Russell Bodner , MD

Orthopaedic Surgery

NPI 1063527208

Doctor of Medicine (M.D.)

David Bartelt , ATC, OTC

Specialist/Technologist - Athletic Trainer

NPI 1104056316

Certified Athletic Trainer, OTC

NPI 1114032372

Doctor of Podiatric Medicine

Dr. Photine Liakos , MD

Orthopaedic Surgery

NPI 1134234305

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 13, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location July 13, 2012

Registered at 900 N 2ND ST, ROCHELLE, IL 610681764 (Tel: 8157580000)

📍
Updated Business Mailing Address July 13, 2012

Registered at 1952 ABERDEEN CT, SYCAMORE, IL 601783175 (Tel: 8157580000)

👤
Provider Name / Credentials Updated July 13, 2012

Recorded as JOAN KOOLIDGE, MPT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 13, 2012

Specialist (License #070009450 in IL)

🟢
Initial NPI Registration & Enumeration July 13, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1275888430
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 13, 2012
Last Update: July 13, 2012
Sole Proprietor: No

Mailing Address

1952 Aberdeen Ct

Sycamore, IL 601783175

Phone: 8157580000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.