WILLIAM JEROME LOETHEN
NPI 1912848250
Physical Therapist in Champaign, IL

Active since April 02, 2026Accepts Medicare Assignment
2110 FOX DR STE D, CHAMPAIGN, IL 61820(217) 398-9800 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About William Jerome Loethen NPPES

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

WILLIAM JEROME LOETHEN (NPI 1912848250) is an individual physical therapist in Champaign, Illinois and active in the NPI registry since April 2026. He is a graduate of Other (2026).

NPPES Registry Identity

NPI1912848250
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameWILLIAM JEROME LOETHEN
Location Address2110 FOX DR STE DChampaign, IL 61820-7553
Mailing Address1901 Mayberry DrColumbia, MO 65202-3856 · (573) 673-8354
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateApril 2, 2026
NPPES CertifiedApril 2, 2026
✔ NPI 1912848250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
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:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • 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.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
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.
2110 FOX DR STE D, Champaign, IL 61820

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

William Jerome Loethen is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2860965720
PECOS Enrollment IDI20260623002789

Medicare Billing Reassignment

Medicare enrollment records show William Loethen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
204 E WASHINGTON ST
Clinton, IL 61727
  • Reassigned Medicare billing, Illinois enrollment
  • 134 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61820 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
2110 FOX DR STE D
CHAMPAIGN, IL 61820

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 William Loethen's NPI number?

The NPI number for William Loethen is 1912848250. It was assigned to this individual provider in the NPPES registry on April 2, 2026.

Where is William Loethen located?

William Loethen practices at 2110 Fox Dr Ste D, Champaign, IL 61820. The listed phone number is (217) 398-9800.

What is William Loethen's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is William Loethen enrolled in Medicare?

Yes. William Loethen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for William Loethen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), William Loethen reassigns Medicare benefits to Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path (Clinton, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for William Loethen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does William Loethen accept?

Health plans from Oscar Health list William Loethen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for William Loethen was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.