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Active NPI 1538663463 Individual Practitioner Male Practitioner

Gregory M Blakely

Physical Therapist • Vienna, IL

Professional Overview & Biography Verified Profile Summary

Gregory Blakely is a registered healthcare professional specializing in Physical Therapist in Vienna, IL. Practice services are available at 811 NORTH 1ST STREET under active NPI credentials.

Frequently performed procedures and clinical services include therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure using manual technique, each, electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

811 North 1st Street

Vienna, IL 62995

Telephone 6186588144
Fax 6186589146
Associated Practice Facility / Clinic
🏢 Real Rehabilitation Pc Facility NPI 1912030321

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Vienna, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 35.0 Yrs
State Avg: 16.6 Yrs
Regional Practice Density
5 Specialists

Practicing in Vienna, IL (12173 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
50.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
432 28 $50.49 $26.36
97140 Therapy procedure using manual technique, each 15 minutes
331 22 $49.82 $22.49
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care
71 13 $35.00 $10.11
97530 Therapy procedure using functional activities
17 11 $48.72 $33.01

Medical Specialties & State Licenses

Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License IL 070.005246

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Practice Associates & Co-Workers

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

5 Associated Practitioners
Kimberly Ecker , PT

Physical Therapist

NPI 1124036165

Physical Therapist

NPI 1215201322

Physical Therapist, Doctor of Physical Therapy

Rachel Edmonds , PT

Physical Therapist

NPI 1235147216

Physical Therapist

Sherri Buchanan , OT

Occupational Therapist

NPI 1801032370

Occupational Therapist

NPI 1861721540

Physical Therapist, Doctor of Physical Therapy

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 23, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location March 23, 2018

Registered at 811 NORTH 1ST STREET, VIENNA, IL 62995 (Tel: 6186588144)

📍
Updated Business Mailing Address March 23, 2018

Registered at 811 NORTH 1ST STREET, VIENNA, IL 62995 (Tel: 6186588144)

👤
Provider Name / Credentials Updated March 23, 2018

Recorded as GREGORY BLAKELY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 23, 2018

Physical Therapist (License #070.005246 in IL)

🟢
Initial NPI Registration & Enumeration March 23, 2018

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: 1538663463
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 23, 2018
Last Update: March 23, 2018
Sole Proprietor: No

Mailing Address

811 North 1st Street

Vienna, IL 62995

Phone: 6186588144

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.