IndividualActive
Ayddin Reisi, DPT
NPI 1104186154 · Physical Therapist · Peoria, IL
Provider details
- NPI number
- 1104186154
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 070015288 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7500 N Piccadilly Pl
Peoria, IL 61614-1640
Phone: (309) 683-0544
Street-level locationGet directions
Mailing address
7500 N Piccadilly Pl
Peoria, IL 61614-1640
Registry dates
- Enumerated
- 2012-05-24
- Last updated
- 2012-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.