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

William Jerome Loethen

Individual provider Physical Therapist · NPI 1912848250

William Jerome Loethen is a Physical Therapist in Private Practice in Champaign, Illinois. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

2110 Fox Dr Ste D
Champaign, IL 61820-7553
Phone: (217) 398-9800
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1912848250
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 2, 2026
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026
Mailing address1901 Mayberry Dr, Columbia, MO 65202-3856

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2026 (0 years in practice)
Accepts Medicare assignment Not indicated

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