| Rozell Spine & Sport | |
|
1 Country Club Vw Ste 101, Edwardsville, IL 62025-3693 | |
| (618) 307-9383 | |
| (888) 979-6608 |
| Full Name | Rozell Spine & Sport |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1 Country Club Vw Ste 101, Edwardsville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376051169 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Nicholas M Rozell |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1114475290 PECOS PAC ID: 5193006500 Enrollment ID: I20161223000112 |
| Provider Name | Matthew Burton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861017022 PECOS PAC ID: 9931521598 Enrollment ID: I20200627000171 |
| Mailing Address | Practice Location Address |
|---|---|
| Rozell Spine & Sport 1 Country Club Vw Ste 101, Edwardsville, IL 62025-3693 Ph: (618) 307-9383 | Rozell Spine & Sport 1 Country Club Vw Ste 101, Edwardsville, IL 62025-3693 Ph: (618) 307-9383 |
Abigail C Reilly, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1047 Century Dr, Edwardsville, IL 62025 Phone: 618-307-3434 Fax: 618-307-3435 | |
Colleen M Chapman, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2122 Troy Rd Ste 120, Edwardsville, IL 62025 Phone: 618-800-4620 Fax: 618-200-4621 | |
Rachael Diane Lynn, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1047 Century Drive, Edwardsville, IL 62025 Phone: 618-307-3434 Fax: 618-307-3435 | |
Dr. Alicia Flach, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 St. Louis St, Edwardsville, IL 62025 Phone: 618-610-4420 | |
Emily Schirmer, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 219 E Vandalia St, Edwardsville, IL 62025 Phone: 618-659-9666 | |
Madeleine Mcquality, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 2122 Troy Rd Ste 120, Edwardsville, IL 62025 Phone: 618-800-4620 | |
Dr. Luke Makler, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1047 Century Dr, Edwardsville, IL 62025 Phone: 618-307-3434 Fax: 618-307-3434 |