SELF
NPI 1285992909
Student in an Organized Health Care Education/Training Program in Petersburg, IL

Q: What is Student's NPI number?

The NPI number for Student is 1285992909. It was assigned to this organization in the NPPES registry on May 1, 2012. The provider is also known as Self.

Q: What is Student's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Student was last updated on May 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 01, 2012

16554 N MEADOW LN, PETERSBURG, IL 62675(217) 891-7941 Get Directions Write a Review

NPPES record last updated: May 1, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Self NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SELF (NPI 1285992909) is a healthcare organization registered as a student in an organized health care education/training program in Petersburg, Illinois and active in the NPI registry since May 2012. The organization lists Nathan Howarth, Physical Therapy, as its authorized official.

NPPES Registry Identity

NPI1285992909

Entity TypeOrganization

Primary Taxonomy390200000X

Legal Business NameSTUDENT

Location Address16554 N MEADOW LNPetersburg, IL 62675-6786

Mailing Address16554 N Meadow LnPetersburg, IL 62675-6786

Phone(217) 891-7941

Organization SubpartNo

Authorized OfficialNathan HowarthPhysical Therapy · (217) 891-7941

Enumeration DateMay 1, 2012

✔ NPI 1285992909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

16554 N MEADOW LN, Petersburg, IL 62675

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Other Names 1

Other NameSelf

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Student's NPI number?

The NPI number for Student is 1285992909. It was assigned to this organization in the NPPES registry on May 1, 2012. The provider is also known as Self.

Where is Student located?

Student is located at 16554 N Meadow Ln, Petersburg, IL 62675. The listed phone number is (217) 891-7941.

What is Student's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Student was last updated on May 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.