IndividualActive
Amy Koudelka
NPI 1215101191 · Physical Therapist · Sparta, IL
Provider details
- NPI number
- 1215101191
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 070010691 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
1300 N Market St
Sparta, IL 62286-1048
Phone: (618) 443-2177
Fax: (618) 443-4731
Street-level locationGet directions
Mailing address
818 E Broadway St
Sparta, IL 62286-1820
Registry dates
- Enumerated
- 2008-04-22
- Last updated
- 2012-07-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.