Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amber Nicole Kingery Masters, PTA

Individual provider Physical Therapy Assistant · NPI 1720367063

Amber Nicole Kingery Masters, PTA is a Physical Therapy Assistant in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1315 N Bourland Ave
Peoria, IL 61606-1214
Phone: (309) 258-2040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X (IL)

Record details

NPI number1720367063
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedAugust 4, 2011
Last updated in NPPESAugust 4, 2011

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