| Advance Physical Therapy & Sports Medicine Of Chatham Llc | |
|
1089 Jason Pl, Chatham, IL 62629 | |
| (217) 222-6800 | |
| (217) 222-0037 |
| Full Name | Advance Physical Therapy & Sports Medicine Of Chatham Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1089 Jason Pl, Chatham, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376706234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Gregory Reis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972519171 PECOS PAC ID: 3173516341 Enrollment ID: I20050418000123 |
| Provider Name | Marci D Aherin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255528907 PECOS PAC ID: 3577642560 Enrollment ID: I20080501000535 |
| Provider Name | Lorraine Morgan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710170600 PECOS PAC ID: 9133276512 Enrollment ID: I20090422000443 |
| Provider Name | Chad D Falconer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578577201 PECOS PAC ID: 6002882214 Enrollment ID: I20130228000220 |
| Provider Name | Justin K Gerhardt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275767246 PECOS PAC ID: 6507916814 Enrollment ID: I20130826000228 |
| Provider Name | Nathan O Lunt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700252053 PECOS PAC ID: 3173839172 Enrollment ID: I20150908001089 |
| Provider Name | Katie Phares |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376063057 PECOS PAC ID: 5991078636 Enrollment ID: I20170831002433 |
| Provider Name | Zachary M. Kinscherf |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730512294 PECOS PAC ID: 5193073054 Enrollment ID: I20180808003731 |
| Provider Name | Tyler J Green |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922554658 PECOS PAC ID: 7911258470 Enrollment ID: I20180921001342 |
| Provider Name | Jennifer Lee Hill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306331673 PECOS PAC ID: 1850647793 Enrollment ID: I20180922000113 |
| Provider Name | David M Schneller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932160009 PECOS PAC ID: 9436401239 Enrollment ID: I20181005000667 |
| Provider Name | Jacob Wilson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255849626 PECOS PAC ID: 5395071757 Enrollment ID: I20211221000627 |
| Mailing Address | Practice Location Address |
|---|---|
| Advance Physical Therapy & Sports Medicine Of Chatham Llc 160 Progress Rd Ste 111, Hannibal, MO 63401-6630 Ph: (217) 222-6800 | Advance Physical Therapy & Sports Medicine Of Chatham Llc 1089 Jason Pl, Chatham, IL 62629 Ph: (217) 222-6800 |
Valerie Creviston, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 101 E Plummer Blvd, Chatham, IL 62629 Phone: 214-483-8171 Fax: 217-483-8173 | |
Ma Lizza Martinez Mendiola, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 106 Cottonwood Dr, Chatham, IL 62629 Phone: 217-220-1961 |