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

Marc A. Colclasure, PT

Individual provider Physical Therapist · NPI 1811913874

Marc A. Colclasure, PT is a Physical Therapist in Private Practice in Peoria, Illinois. Qualified in 1999, 27 years ago. Practices with Synergy Family Therapy Specialists Inc, a 3-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
27
Licensed in
IL
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

530 NE Glen Oak Ave
Peoria, IL 61637-0001
Phone: (309) 683-5094
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070-011997 (IL)

Record details

NPI number1811913874
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 14, 2006
Last updated in NPPESFebruary 28, 2019
Mailing address1700 Thomas Paine Pkwy, Centerville, OH 45459-2541

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Synergy Family Therapy Specialists Inc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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