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

Medea Nevada Parent

Individual provider Physical Therapist · NPI 1205727690

Medea Nevada Parent is a Physical Therapist in Private Practice in St Charles, Illinois. Qualified in 2022, 4 years ago. Practices with Genesis Orthopedics and Sports Medicine LLC, a 22-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2025
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Practice location Address checks out

2825 Foxfield Rd
St Charles, IL 60174-5734
Phone: (877) 377-1188
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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 070.029090 (IL)

Record details

NPI number1205727690
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 14, 2025
Last updated in NPPESJuly 14, 2025
Certification dateJuly 13, 2025
Mailing address2264 Oakridge Dr Apt 3, Aurora, IL 60502-4508

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Genesis Orthopedics And Sports Medicine Llc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in St Charles