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

Raquel A Minor

Individual provider Physical Therapist · NPI 1063205367

Raquel A Minor is a Physical Therapist in Private Practice in Mount Vernon, Illinois. Qualified in 2024, 2 years ago. Practices with Orthopaedic Center of Southern Illinois, Ltd, a 20-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2025
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Practice location Address checks out

4121 Veterans Memorial Dr
Mount Vernon, IL 62864-6262
Phone: (618) 731-7120
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 839 Ml King Drive, Centralia, IL 62801 — (618) 242-3778

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1063205367
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 28, 2025
Last updated in NPPESMay 28, 2025
Certification dateMay 28, 2025
Mailing address4121 Veterans Memorial Dr, Mount Vernon, IL 62864-6262

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Orthopaedic Center Of Southern Illinois, Ltd — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mount Vernon