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

Nicholas Interial, PT, DPT, ATC

Individual provider Physical Therapist · NPI 1346617628

Nicholas Interial, PT, DPT, ATC is a Physical Therapist in Private Practice in Geneseo, Illinois. Qualified in 2015, 11 years ago. Practices with Rock Valley Physical Therapy Center, a 232-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
11
Licensed in
IL
In the registry since
2015
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

1225 S Oakwood Ave Ste 1
Geneseo, IL 61254-1990
Phone: (309) 944-6447
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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 070.021600 (IL)

Record details

NPI number1346617628
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , ATC
Sole proprietorNo
NPI enumeratedAugust 21, 2015
Last updated in NPPESMay 16, 2024
Certification dateMay 16, 2024
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 2015 (11 years in practice)
Group practice Rock Valley Physical Therapy Center — 232 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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