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

Individual provider Physical Therapist · NPI 1891118410

Diane Threlkeld, DPT is a Physical Therapist in Private Practice in Glen Carbon, Illinois. Qualified in 2013, 13 years ago. Practices with Axes Physical Therapy LLC, a 113-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
13
Licensed in
IL
In the registry since
2014
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

138 Junction Dr
Glen Carbon, IL 62034-4322
Phone: (618) 636-5756
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 10199 Woodfield Ln, Saint Louis, MO 63132-2922 — (877) 407-3422
  • 1650 High St, Washington, MO 63090-4365 — (877) 407-3422

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070020213 (IL)

Record details

NPI number1891118410
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 3, 2014
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 24, 2025
Mailing address647 Spirit Airpark West Dr Ste 101, Chesterfield, MO 63005-1032

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Axes Physical Therapy Llc — 113 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Glen Carbon