Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carly Michelle Machacek, DPT

Individual provider Physical Therapist · NPI 1700446721

Carly Michelle Machacek, DPT is a Physical Therapist in Private Practice in Peoria, Illinois. Qualified in 2019, 7 years ago. Practices with Rock Valley Physical Therapy Center, a 232-clinician group and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
7
Licensed in
KS, MO
In the registry since
2019
Specialties on file
3
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

9901 N Knoxville Ave Ste D
Peoria, IL 61615-1433
Phone: (309) 243-1989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 2019031259 (MO)
Physical Therapist Taxonomy 225100000X
Orthopedic Physical Therapist Taxonomy 2251X0800X · Licence 11-06393 (KS)

Record details

NPI number1700446721
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 20, 2019
Last updated in NPPESMarch 7, 2023
Certification dateMarch 7, 2023
Mailing address850 43rd Ave Ste 100, Moline, IL 61265-8401

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Rock Valley Physical Therapy Center — 232 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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