| Lisa Marie Edwards, MOTR/L, BSRS | |
|
3057 N Perryville Rd, Rockford, IL 61114-8016 | |
| (815) 637-1100 | |
| Not Available |
| Full Name | Lisa Marie Edwards |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 3057 N Perryville Rd, Rockford, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588910236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | 056.008535 (Illinois) | Primary |
| Provider Name | Integrative Rehabmedicine Sc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1902014285 PECOS PAC ID: 8022115252 Enrollment ID: O20070522000532 |
| Provider Name | Rehab Maxx Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1861711855 PECOS PAC ID: 3072842590 Enrollment ID: O20190909004111 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Marie Edwards, MOTR/L, BSRS 3057 N Perryville Rd, Rockford, IL 61114-8016 Ph: () - | Lisa Marie Edwards, MOTR/L, BSRS 3057 N Perryville Rd, Rockford, IL 61114-8016 Ph: (815) 637-1100 |
Jennifer Davidson, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 2300 N Rockton Ave, Rockford, IL 61103 Phone: 815-971-2000 | |
Carol Linkenheld, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1311 Parkview Ave, Rockford, IL 61107 Phone: 815-399-8832 | |
Valarie Mcconville, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3057 N Perryville Rd, Rockford, IL 61114 Phone: 630-965-2225 | |
Ann Licari, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4123 Singleton Rd, Rockford, IL 61114 Phone: 815-978-4535 | |
Meghan La Marca, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 209 9th St, Rockford, IL 61104 Phone: 779-696-4470 | |
James J Jefko, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2550 Charles St, Rockford, IL 61108 Phone: 779-696-7550 | |
Mr. William Alan Kopke, MED, OTR/L, CLT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2006 El Rancho Lane, Rockford, IL 61107 Phone: 815-977-5950 |