OrganizationActive
Student
NPI 1285992909 · Student in an Organized Health Care Education/Training Program · Petersburg, IL
Provider details
- NPI number
- 1285992909
- Entity type
- Organization
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Organization subpart
- No
- Authorized official
- Nathan Howarth, Physical Therapy(217) 891-7941
Specialties & taxonomies
Student, Health Care
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
16554 N Meadow Ln
Petersburg, IL 62675-6786
Phone: (217) 891-7941
Street-level locationGet directions
Mailing address
16554 N Meadow Ln
Petersburg, IL 62675-6786
Other names (DBA / former)
- Other name
- Self
Registry dates
- Enumerated
- 2012-05-01
- Last updated
- 2012-05-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.