| Healthpro Heritage Rehab & Fitness, Llc | |
|
343 E 90th Dr, Merrillville, IN 46410-8152 | |
| (219) 207-6100 | |
| Not Available |
| Full Name | Healthpro Heritage Rehab & Fitness, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 343 E 90th Dr, Merrillville, Indiana |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053833657 | NPI | - | NPPES |
| Provider Name | Pankaj K Tyagi |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205886967 PECOS PAC ID: 1951381185 Enrollment ID: I20040720001206 |
| Provider Name | Loren J Hartman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215098751 PECOS PAC ID: 0749269579 Enrollment ID: I20040721000364 |
| Provider Name | Lisa M Burns |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497791701 PECOS PAC ID: 2264407477 Enrollment ID: I20040831001311 |
| Provider Name | May S Benito-refugio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245450030 PECOS PAC ID: 4981660321 Enrollment ID: I20041207000722 |
| Provider Name | Mary E Mchugh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265558191 PECOS PAC ID: 3779524632 Enrollment ID: I20050520000452 |
| Provider Name | Nazife Tulgar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639242472 PECOS PAC ID: 0840224358 Enrollment ID: I20050923000747 |
| Provider Name | Michael Mclaughlin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457092660 PECOS PAC ID: 8921025578 Enrollment ID: I20051130000595 |
| Provider Name | Maria M Walker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871689448 PECOS PAC ID: 5395849491 Enrollment ID: I20070329000412 |
| Provider Name | Jill N Howard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386848828 PECOS PAC ID: 8426158361 Enrollment ID: I20070709000037 |
| Provider Name | Godwin O Biokoro |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063587301 PECOS PAC ID: 9537249768 Enrollment ID: I20071231000260 |
| Provider Name | Helene M Highbarger |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780865584 PECOS PAC ID: 6709962798 Enrollment ID: I20080401000331 |
| Provider Name | Kelly E O'barr |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679653067 PECOS PAC ID: 5395811178 Enrollment ID: I20080902000132 |
| Provider Name | Jerome Alib |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609063601 PECOS PAC ID: 9032279633 Enrollment ID: I20081126000296 |
| Provider Name | Navin Agarwal |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932320629 PECOS PAC ID: 0042367013 Enrollment ID: I20090408000294 |
| Provider Name | Jessica A Grogan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841269511 PECOS PAC ID: 9234286758 Enrollment ID: I20090420000384 |
| Provider Name | Amanda A Petker |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902065139 PECOS PAC ID: 8628125069 Enrollment ID: I20090422000116 |
| Provider Name | Marisa L Girman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467570325 PECOS PAC ID: 0648296806 Enrollment ID: I20090727000233 |
| Provider Name | Elizabeth A Bevis |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1851559520 PECOS PAC ID: 1951464734 Enrollment ID: I20090804000616 |
| Provider Name | Erin M Vergara |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225266091 PECOS PAC ID: 1456497429 Enrollment ID: I20091005000448 |
| Provider Name | Crisanta Mejia Baguisa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093968539 PECOS PAC ID: 3779755483 Enrollment ID: I20110930000231 |
| Provider Name | Bradley A Shupe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982830584 PECOS PAC ID: 4486826732 Enrollment ID: I20111010000024 |
| Provider Name | John V Salva |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801146121 PECOS PAC ID: 7517118128 Enrollment ID: I20121107000716 |
| Provider Name | Mary E Hofmeister |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417112814 PECOS PAC ID: 1557516200 Enrollment ID: I20130301000276 |
| Provider Name | Jodi B Crabtree |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427395722 PECOS PAC ID: 3375782014 Enrollment ID: I20130610000603 |
| Provider Name | Daljeet K Trehan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639247117 PECOS PAC ID: 0446499834 Enrollment ID: I20130614000479 |
| Provider Name | Melanie Beery |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689886467 PECOS PAC ID: 9032352646 Enrollment ID: I20130829000802 |
| Provider Name | Michelle D Mckinney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043588908 PECOS PAC ID: 8921236456 Enrollment ID: I20140108001121 |
| Provider Name | Cecille Gay E Villegas |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124159397 PECOS PAC ID: 5991933178 Enrollment ID: I20140115000755 |
| Provider Name | Thomas R Spevak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073837761 PECOS PAC ID: 8820228000 Enrollment ID: I20140310000496 |
| Provider Name | Paul H Dapp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730257320 PECOS PAC ID: 8224254545 Enrollment ID: I20140723000431 |
| Provider Name | Marie Jean Hedges |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295884682 PECOS PAC ID: 6800016692 Enrollment ID: I20140929002311 |
| Provider Name | Jennifer M Gomez |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164658613 PECOS PAC ID: 0042532756 Enrollment ID: I20141209000678 |
| Provider Name | David Khosa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275767428 PECOS PAC ID: 4688998628 Enrollment ID: I20150121001683 |
| Provider Name | Honeybee R Garal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437423274 PECOS PAC ID: 8426372376 Enrollment ID: I20150123001215 |
| Provider Name | Ryan Schlosser |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649649872 PECOS PAC ID: 6204137516 Enrollment ID: I20151210001256 |
| Provider Name | Amie L Curry |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356506901 PECOS PAC ID: 2466755970 Enrollment ID: I20160115001586 |
| Provider Name | Lyssa L Mette |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922490564 PECOS PAC ID: 1254634777 Enrollment ID: I20160115002031 |
| Provider Name | Margaret Bazarko |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649637901 PECOS PAC ID: 0345546669 Enrollment ID: I20160314001149 |
| Provider Name | Alain D Mejia-vargas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033166723 PECOS PAC ID: 3577861665 Enrollment ID: I20160405002049 |
| Provider Name | Stacy M Kosha |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407278666 PECOS PAC ID: 1355660911 Enrollment ID: I20160413001770 |
| Provider Name | Stephanie D Wainscott |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902035223 PECOS PAC ID: 4880985761 Enrollment ID: I20160623001807 |
| Provider Name | Jose Royeca |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679926323 PECOS PAC ID: 1557655529 Enrollment ID: I20160815000747 |
| Provider Name | Nicole Olson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942553771 PECOS PAC ID: 5395019236 Enrollment ID: I20170915002749 |
| Provider Name | Deborah Klyczek |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659527661 PECOS PAC ID: 9638444615 Enrollment ID: I20170929003076 |
| Provider Name | John Krug |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588970982 PECOS PAC ID: 8628084514 Enrollment ID: I20171010003214 |
| Provider Name | Vilma Butler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891124459 PECOS PAC ID: 5597031112 Enrollment ID: I20171026002852 |
| Provider Name | Jaimie L Hutchins |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366943375 PECOS PAC ID: 3870854862 Enrollment ID: I20180308001521 |
| Provider Name | Margaret Gail Milhoan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366968406 PECOS PAC ID: 3173887353 Enrollment ID: I20180516002161 |
| Provider Name | Lilian Mapeza Lowe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356830749 PECOS PAC ID: 6901161439 Enrollment ID: I20180604000035 |
| Provider Name | Milally Belocura |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578514741 PECOS PAC ID: 9032121413 Enrollment ID: I20180706000159 |
| Provider Name | Dominique Joseph Byrd |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902086176 PECOS PAC ID: 3274882600 Enrollment ID: I20180820000027 |
| Provider Name | Mercedes B Gozun |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952880403 PECOS PAC ID: 2668722968 Enrollment ID: I20180907000541 |
| Provider Name | Jennifer Louise Forker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043418445 PECOS PAC ID: 4385994656 Enrollment ID: I20180918004238 |
| Provider Name | Maria Corinne Tesalona Boiser |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962927095 PECOS PAC ID: 7810241379 Enrollment ID: I20181120000068 |
| Provider Name | Holly Weller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104294545 PECOS PAC ID: 0648517425 Enrollment ID: I20190201000808 |
| Provider Name | Michael David Schaumberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134687213 PECOS PAC ID: 1254671910 Enrollment ID: I20190318000556 |
| Provider Name | Erin Elizabeth Gratzer |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1538638614 PECOS PAC ID: 9436499985 Enrollment ID: I20190319002303 |
| Provider Name | Michelle N Jackson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1881931863 PECOS PAC ID: 4880934165 Enrollment ID: I20190325000143 |
| Provider Name | Lorelie Tesalona Fleetwood |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588845291 PECOS PAC ID: 2264772318 Enrollment ID: I20190327002072 |
| Provider Name | Erin Renee Munday |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1548453970 PECOS PAC ID: 5597005546 Enrollment ID: I20190329000350 |
| Provider Name | Kimberly D Bergan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285116657 PECOS PAC ID: 5597006510 Enrollment ID: I20190401000874 |
| Provider Name | Jenniffer G Etchison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215133715 PECOS PAC ID: 7214278027 Enrollment ID: I20190404000914 |
| Provider Name | Michann Bramwell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467937938 PECOS PAC ID: 1254672959 Enrollment ID: I20190405002139 |
| Provider Name | Heather Ann Riley-hanson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1275881013 PECOS PAC ID: 0446591192 Enrollment ID: I20190408001716 |
| Provider Name | Eric Michael Fiscus |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033630694 PECOS PAC ID: 2264773589 Enrollment ID: I20190412001718 |
| Provider Name | Maryanne Krug |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750670535 PECOS PAC ID: 5698913663 Enrollment ID: I20190416001873 |
| Provider Name | Martin Keven Milner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063473924 PECOS PAC ID: 6608894837 Enrollment ID: I20190422001196 |
| Provider Name | Lara Stone |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1770838179 PECOS PAC ID: 7012259815 Enrollment ID: I20190426000934 |
| Provider Name | Chelo Borja |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023261864 PECOS PAC ID: 3173865839 Enrollment ID: I20190429001183 |
| Provider Name | Jennifer Lynne English |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104034875 PECOS PAC ID: 1355683020 Enrollment ID: I20190429001552 |
| Provider Name | Annette Nelalen Moore |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215239637 PECOS PAC ID: 1052653490 Enrollment ID: I20190503001614 |
| Provider Name | Marilou S Maramba |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225545049 PECOS PAC ID: 4486996881 Enrollment ID: I20190506001365 |
| Provider Name | Debbie Grabowski |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1821348657 PECOS PAC ID: 3971837345 Enrollment ID: I20190619001788 |
| Provider Name | Kathleen Schutz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427515543 PECOS PAC ID: 2769716075 Enrollment ID: I20190620000459 |
| Provider Name | Fatima Queennel Bullock |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1164900502 PECOS PAC ID: 7719211804 Enrollment ID: I20190624001695 |
| Provider Name | Autumn Leann Ringeisen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1275915456 PECOS PAC ID: 3375877988 Enrollment ID: I20190701001679 |
| Provider Name | Allison Elizabeth Tschuor |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1770142481 PECOS PAC ID: 0840525150 Enrollment ID: I20190709001948 |
| Provider Name | Martha Louise Adams |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1073857520 PECOS PAC ID: 8123353919 Enrollment ID: I20190716003426 |
| Provider Name | Roni Dinglasa |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588085740 PECOS PAC ID: 7810223971 Enrollment ID: I20190726000779 |
| Provider Name | Shannon Ray Mcallister |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164935128 PECOS PAC ID: 5890022412 Enrollment ID: I20190806000144 |
| Provider Name | Leah Jurek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659932770 PECOS PAC ID: 4587983945 Enrollment ID: I20190808000916 |
| Provider Name | Jillian April Marler |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1447726914 PECOS PAC ID: 1951639657 Enrollment ID: I20190819003992 |
| Provider Name | Lisa Campbell |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114357290 PECOS PAC ID: 2264760685 Enrollment ID: I20190823000164 |
| Provider Name | Sheila Gregory |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174875397 PECOS PAC ID: 1254607039 Enrollment ID: I20190830001668 |
| Provider Name | Anne E Rollison |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821253972 PECOS PAC ID: 1456680891 Enrollment ID: I20190910001341 |
| Provider Name | Sandra Bush Kluka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598312266 PECOS PAC ID: 4385973734 Enrollment ID: I20190910001706 |
| Provider Name | Robyn Joy Ford |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1144430083 PECOS PAC ID: 9638400617 Enrollment ID: I20191004001707 |
| Provider Name | Bjorn Carlo Berber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730552878 PECOS PAC ID: 5294067963 Enrollment ID: I20191029003494 |
| Provider Name | Michaela R Elijah |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457993164 PECOS PAC ID: 8820420052 Enrollment ID: I20191108002299 |
| Provider Name | Heather L Mccallum |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518086123 PECOS PAC ID: 6901238096 Enrollment ID: I20191111001991 |
| Provider Name | Rebecca Anne Killingbeck-smith |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1679117345 PECOS PAC ID: 4789016429 Enrollment ID: I20191118001888 |
| Provider Name | Nicole Lynn Schultz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326683418 PECOS PAC ID: 5496188716 Enrollment ID: I20191127001017 |
| Provider Name | Rosemary H Pendley |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1962609891 PECOS PAC ID: 4981037231 Enrollment ID: I20191127002184 |
| Provider Name | Amy Pratt |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1093967358 PECOS PAC ID: 5092148262 Enrollment ID: I20191202000341 |
| Provider Name | Heather Marie Adams |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982682100 PECOS PAC ID: 5799119947 Enrollment ID: I20191223001018 |
| Provider Name | Hesham Hegazy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902072705 PECOS PAC ID: 6709959232 Enrollment ID: I20200124001740 |
| Provider Name | Tammy N Ngo |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1316435787 PECOS PAC ID: 4183050438 Enrollment ID: I20200204002054 |
| Provider Name | Courtney Lynn Grounds |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184255432 PECOS PAC ID: 9234565342 Enrollment ID: I20200210001481 |
| Provider Name | Sara Estes |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1891079729 PECOS PAC ID: 5799111779 Enrollment ID: I20200211002026 |
| Provider Name | Adrienne Diaz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326678640 PECOS PAC ID: 7810323672 Enrollment ID: I20200214001327 |
| Provider Name | Gayle B Golike |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194357723 PECOS PAC ID: 0143657270 Enrollment ID: I20200229000153 |
| Provider Name | Ashley Nicole Meyers |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1760013239 PECOS PAC ID: 4789011818 Enrollment ID: I20200229000170 |
| Provider Name | Forest Ann Sherk |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396122719 PECOS PAC ID: 2163859026 Enrollment ID: I20200305002042 |
| Provider Name | Kimberly M Wasielewski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164056289 PECOS PAC ID: 6204264690 Enrollment ID: I20200318001075 |
| Provider Name | Stephanie Ann Romig |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750855474 PECOS PAC ID: 4284062415 Enrollment ID: I20200320002568 |
| Provider Name | Lindsay M Grillot |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255965067 PECOS PAC ID: 2466880588 Enrollment ID: I20200323003226 |
| Provider Name | Rector S Suarez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265061121 PECOS PAC ID: 5496185084 Enrollment ID: I20200422002175 |
| Provider Name | Kelly Ann Calvillo |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1144404989 PECOS PAC ID: 2264853019 Enrollment ID: I20200602002513 |
| Provider Name | Rachel Gugel |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1902250376 PECOS PAC ID: 9335560788 Enrollment ID: I20200610003314 |
| Provider Name | Megan Elizabeth Rector |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1043580640 PECOS PAC ID: 5092137901 Enrollment ID: I20200623002107 |
| Provider Name | Kara Jo Lowenstein |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1528354529 PECOS PAC ID: 9739502097 Enrollment ID: I20200706002608 |
| Provider Name | Anne Teresa Cahill |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780200287 PECOS PAC ID: 6901229871 Enrollment ID: I20200710000784 |
| Provider Name | Katelyn Elizabeth Kush |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194349555 PECOS PAC ID: 0244653004 Enrollment ID: I20200713001031 |
| Provider Name | Carla Piggee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609356658 PECOS PAC ID: 9830420157 Enrollment ID: I20200713001700 |
| Provider Name | Edna Ayton-panal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760680151 PECOS PAC ID: 9638592348 Enrollment ID: I20200713003448 |
| Provider Name | Pradip Rai |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114544053 PECOS PAC ID: 4688098213 Enrollment ID: I20200715003446 |
| Provider Name | Natalie Aleece Jackson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1164605697 PECOS PAC ID: 9739503046 Enrollment ID: I20200720003438 |
| Provider Name | April Macdonald |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366066284 PECOS PAC ID: 0345664264 Enrollment ID: I20200723002559 |
| Provider Name | Amanda Dawn Haar |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225221344 PECOS PAC ID: 8527482249 Enrollment ID: I20200728000323 |
| Provider Name | Grace A Messersmith |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1215548144 PECOS PAC ID: 1456777697 Enrollment ID: I20200818002353 |
| Provider Name | Kathyrn Capps |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356846596 PECOS PAC ID: 1254759178 Enrollment ID: I20200909002241 |
| Provider Name | Sree Sushma Yenuga |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578176335 PECOS PAC ID: 5890113716 Enrollment ID: I20200909002249 |
| Provider Name | Carrie Leigh Allman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730385295 PECOS PAC ID: 4183042914 Enrollment ID: I20200910003008 |
| Provider Name | Raymond Gager |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497936728 PECOS PAC ID: 7618304817 Enrollment ID: I20200910003112 |
| Provider Name | Lynnette Markowicz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720692676 PECOS PAC ID: 8426476177 Enrollment ID: I20200914000763 |
| Provider Name | James Daniel Foley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962013342 PECOS PAC ID: 0345668950 Enrollment ID: I20200915000331 |
| Provider Name | Amy Koelper |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043825268 PECOS PAC ID: 4284052770 Enrollment ID: I20200915003072 |
| Provider Name | Raghu Nallamothu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366606469 PECOS PAC ID: 5395164271 Enrollment ID: I20200925001238 |
| Provider Name | Kara N Wilson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1639391626 PECOS PAC ID: 5496172496 Enrollment ID: I20201014000819 |
| Provider Name | Haylee K Stutsman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225658651 PECOS PAC ID: 2769802156 Enrollment ID: I20201023002845 |
| Provider Name | Khusboo Harish Kapuria |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962006551 PECOS PAC ID: 3072924521 Enrollment ID: I20201204001510 |
| Provider Name | Ann Marie Fischer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568791085 PECOS PAC ID: 9638582059 Enrollment ID: I20210104001096 |
| Provider Name | Heather Leanne Esche |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285832568 PECOS PAC ID: 5294148300 Enrollment ID: I20210111001267 |
| Provider Name | Dzejna Ahmetovic |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1407444870 PECOS PAC ID: 5890108575 Enrollment ID: I20210120000693 |
| Provider Name | Chelsea Lynn Nelson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730566845 PECOS PAC ID: 6709291214 Enrollment ID: I20210216000700 |
| Provider Name | Kathryn Gene Kittaka |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437748431 PECOS PAC ID: 9436564846 Enrollment ID: I20210217001926 |
| Provider Name | Courtney Rae Cantrell |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1700438520 PECOS PAC ID: 8426463837 Enrollment ID: I20210217001953 |
| Provider Name | Rachel Nagle |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023529898 PECOS PAC ID: 4082029301 Enrollment ID: I20210219000616 |
| Provider Name | Alison Otis |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1962087502 PECOS PAC ID: 3779990585 Enrollment ID: I20210323001828 |
| Provider Name | Ella Corrine Bosler |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1396321436 PECOS PAC ID: 5799192340 Enrollment ID: I20210325002125 |
| Provider Name | Kristin Bateman-martin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982282042 PECOS PAC ID: 7012325020 Enrollment ID: I20210412001790 |
| Provider Name | Marigold Sestoso |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497967558 PECOS PAC ID: 5294143269 Enrollment ID: I20210413001701 |
| Provider Name | Tori A Faulkner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568073682 PECOS PAC ID: 6608284393 Enrollment ID: I20210419000917 |
| Provider Name | Ashton Brianne Shale |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1619381761 PECOS PAC ID: 4981012135 Enrollment ID: I20210428000764 |
| Provider Name | Gladys O. Paniamogan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538316633 PECOS PAC ID: 7517366578 Enrollment ID: I20210524001410 |
| Provider Name | Chastity Ann Shouse |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992388896 PECOS PAC ID: 4385043348 Enrollment ID: I20210524001645 |
| Provider Name | Stephen Stashevsky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821663253 PECOS PAC ID: 3870992472 Enrollment ID: I20210602001683 |
| Provider Name | Emily Hofer |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1255905915 PECOS PAC ID: 9133529530 Enrollment ID: I20210607000824 |
| Provider Name | Kaitlin Paige Masterson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881287746 PECOS PAC ID: 1052711637 Enrollment ID: I20210618001141 |
| Provider Name | Melissa Cutshaw |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1609393222 PECOS PAC ID: 0648671610 Enrollment ID: I20210628002889 |
| Provider Name | Crystal Bailey |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1295257905 PECOS PAC ID: 1658613468 Enrollment ID: I20210805001962 |
| Provider Name | Madison Harless |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083387583 PECOS PAC ID: 2264836501 Enrollment ID: I20210809000569 |
| Provider Name | Priti S Chavan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245904945 PECOS PAC ID: 1850795147 Enrollment ID: I20210809002550 |
| Provider Name | Michael Enneking |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518008952 PECOS PAC ID: 4880099654 Enrollment ID: I20210818000516 |
| Provider Name | Nikhil Shriram Joshi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245480649 PECOS PAC ID: 4183029523 Enrollment ID: I20210823001905 |
| Provider Name | Shobhna Thakur |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912672189 PECOS PAC ID: 2466857719 Enrollment ID: I20210824003096 |
| Provider Name | Katie Hybarger |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588031660 PECOS PAC ID: 8729483813 Enrollment ID: I20210827001955 |
| Provider Name | Anna Hofer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649946807 PECOS PAC ID: 5294131611 Enrollment ID: I20210910001389 |
| Provider Name | Kourtney Marie Anderson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1629743679 PECOS PAC ID: 0547666851 Enrollment ID: I20210913002163 |
| Provider Name | Andrea Paige Narang |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1740697457 PECOS PAC ID: 3678979721 Enrollment ID: I20210915000766 |
| Provider Name | Erika Janeen Downs |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1396821690 PECOS PAC ID: 9537566328 Enrollment ID: I20210921002622 |
| Provider Name | Kelley H Brown |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1386310639 PECOS PAC ID: 6204233745 Enrollment ID: I20210924002922 |
| Provider Name | Morgan Lanham |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518217108 PECOS PAC ID: 4385669134 Enrollment ID: I20211019000320 |
| Provider Name | Lauren Therese Seculoff |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1497123780 PECOS PAC ID: 3779971072 Enrollment ID: I20211019000725 |
| Provider Name | Karla Whitaker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700292174 PECOS PAC ID: 5496144495 Enrollment ID: I20211112001341 |
| Provider Name | Kayla Lim |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083193296 PECOS PAC ID: 3577815430 Enrollment ID: I20211119001057 |
| Provider Name | Hanna Hae Heung Lee |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073667960 PECOS PAC ID: 8123142197 Enrollment ID: I20211129001963 |
| Provider Name | Archana Yennu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316604796 PECOS PAC ID: 4385034719 Enrollment ID: I20211129002026 |
| Provider Name | Laura L Henley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619230653 PECOS PAC ID: 5193979714 Enrollment ID: I20211209001059 |
| Provider Name | Laurie Marie Delvalle-young |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366100299 PECOS PAC ID: 2062802796 Enrollment ID: I20211210002082 |
| Provider Name | Manasi Sheth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346873551 PECOS PAC ID: 4486071164 Enrollment ID: I20211214001141 |
| Provider Name | Ancy Mary Zachariah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134889793 PECOS PAC ID: 4587055728 Enrollment ID: I20211227000540 |
| Provider Name | Tamara J Mccall |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255453312 PECOS PAC ID: 6103219845 Enrollment ID: I20220202000430 |
| Provider Name | Jennifer Rheann Thomas |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1508511353 PECOS PAC ID: 0941694376 Enrollment ID: I20220301002701 |
| Provider Name | Sarah Michelle Davey |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1861974529 PECOS PAC ID: 7810382934 Enrollment ID: I20220328000208 |
| Provider Name | April Repatacodo-almasri |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124142302 PECOS PAC ID: 0648665794 Enrollment ID: I20220328001227 |
| Provider Name | Ruchira Thakkar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1467773655 PECOS PAC ID: 9537555388 Enrollment ID: I20220405001314 |
| Provider Name | Amy Soder |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1326260712 PECOS PAC ID: 7618363078 Enrollment ID: I20220412000628 |
| Provider Name | Jessica Ross |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1992345243 PECOS PAC ID: 8628464963 Enrollment ID: I20220413001083 |
| Provider Name | Virginia R Smith |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588975676 PECOS PAC ID: 5799171997 Enrollment ID: I20220414001183 |
| Provider Name | Vonda Gail Granger |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275737330 PECOS PAC ID: 0143617241 Enrollment ID: I20220419002913 |
| Provider Name | Courtney Leppek |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1487397204 PECOS PAC ID: 0244627164 Enrollment ID: I20220425000646 |
| Provider Name | Kristin Paris |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164164315 PECOS PAC ID: 9335536960 Enrollment ID: I20220428000863 |
| Provider Name | Johnna Leanne Targett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184940181 PECOS PAC ID: 4688051535 Enrollment ID: I20220513001626 |
| Provider Name | Carolyn Butler Cebalo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841221579 PECOS PAC ID: 7012394455 Enrollment ID: I20220524001915 |
| Provider Name | Edward B Seitz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073250353 PECOS PAC ID: 2860870250 Enrollment ID: I20220525001133 |
| Provider Name | Tina Morrow |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811160294 PECOS PAC ID: 2668850066 Enrollment ID: I20220525001656 |
| Provider Name | Emily Evans |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225553241 PECOS PAC ID: 5890173538 Enrollment ID: I20220608001033 |
| Provider Name | Kristen Doster |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750716668 PECOS PAC ID: 2264651249 Enrollment ID: I20220707001206 |
| Provider Name | Stacy Deann Thompson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285859470 PECOS PAC ID: 9335520501 Enrollment ID: I20220719002424 |
| Provider Name | Hayley Van Buskirk |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1952857575 PECOS PAC ID: 2668854159 Enrollment ID: I20220730000437 |
| Provider Name | Sandra Ruth Koehler |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1134245012 PECOS PAC ID: 5092198671 Enrollment ID: I20220815001043 |
| Provider Name | Kimberly Dianne Lyon |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245968270 PECOS PAC ID: 9931101508 Enrollment ID: I20220815001474 |
| Provider Name | Brenna Kirchhoff |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801514815 PECOS PAC ID: 1759764962 Enrollment ID: I20220822001922 |
| Provider Name | Brooke Elizabeth Kiifner |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497474647 PECOS PAC ID: 9739563222 Enrollment ID: I20220901001131 |
| Provider Name | Courtney Nennig |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275252082 PECOS PAC ID: 1557746609 Enrollment ID: I20220910000146 |
| Provider Name | Morgan Dubbs |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1508589292 PECOS PAC ID: 5890171623 Enrollment ID: I20221003001614 |
| Provider Name | Crystal Blair |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902410095 PECOS PAC ID: 2668848300 Enrollment ID: I20221020000833 |
| Provider Name | Darla J Lingle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144420563 PECOS PAC ID: 1052787645 Enrollment ID: I20221024000724 |
| Provider Name | Vengatesh Murugesan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033836176 PECOS PAC ID: 1153798475 Enrollment ID: I20221029000335 |
| Provider Name | Laura Holley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659711190 PECOS PAC ID: 0840667697 Enrollment ID: I20221108000328 |
| Provider Name | Ashley Ann Kuroiwa |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114634714 PECOS PAC ID: 8224405097 Enrollment ID: I20221108001058 |
| Provider Name | Justice Montgomery |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518572064 PECOS PAC ID: 8022485564 Enrollment ID: I20221112000188 |
| Provider Name | Laura Torrans |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1174972699 PECOS PAC ID: 2860860459 Enrollment ID: I20221202000549 |
| Provider Name | Jessica Goodpaster |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033738661 PECOS PAC ID: 7315316957 Enrollment ID: I20221203000516 |
| Provider Name | Phyllesia Bennett |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1710403613 PECOS PAC ID: 3678942869 Enrollment ID: I20221209002301 |
| Provider Name | Brigitte Umlauf |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598244162 PECOS PAC ID: 0840669552 Enrollment ID: I20221219002118 |
| Provider Name | Amy L Arens |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1316211220 PECOS PAC ID: 0446629166 Enrollment ID: I20221219002299 |
| Provider Name | Nicole Anna Smallwood |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619681848 PECOS PAC ID: 6305217670 Enrollment ID: I20230124002459 |
| Provider Name | Kristine Marie Kious |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225595861 PECOS PAC ID: 2769853720 Enrollment ID: I20230130002176 |
| Provider Name | Morgan Elizabeth Kersnick |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437624996 PECOS PAC ID: 2668841073 Enrollment ID: I20230225000365 |
| Provider Name | Alisha N Medlock |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891271920 PECOS PAC ID: 0840664249 Enrollment ID: I20230327001936 |
| Provider Name | Krunalkumar Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073976965 PECOS PAC ID: 1850766700 Enrollment ID: I20230407000779 |
| Provider Name | Arnab Maity |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750614145 PECOS PAC ID: 7618342270 Enrollment ID: I20230412002404 |
| Provider Name | Kelsey Annette Partenheimer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306548359 PECOS PAC ID: 5597130088 Enrollment ID: I20230414001774 |
| Provider Name | Surbhi Munshi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568158160 PECOS PAC ID: 8628433547 Enrollment ID: I20230428001213 |
| Provider Name | Geetadevi Bommineni |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629297007 PECOS PAC ID: 3072979236 Enrollment ID: I20230515001937 |
| Provider Name | Kaitlyn Olsen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1811685878 PECOS PAC ID: 0244696011 Enrollment ID: I20230521000130 |
| Provider Name | Sarah Brown Baumeyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699174516 PECOS PAC ID: 0446522486 Enrollment ID: I20230524000421 |
| Provider Name | Bhaumik J Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821423468 PECOS PAC ID: 3678930823 Enrollment ID: I20230605000839 |
| Provider Name | Angelica Tokarski |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972296598 PECOS PAC ID: 7810354966 Enrollment ID: I20230605001516 |
| Provider Name | Anna Grisanti Barbiea |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962127415 PECOS PAC ID: 8224405865 Enrollment ID: I20230621001143 |
| Provider Name | William Harold Cowger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477245462 PECOS PAC ID: 1254799489 Enrollment ID: I20230621001516 |
| Provider Name | Aditi Suryakant Datta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265123152 PECOS PAC ID: 7810355989 Enrollment ID: I20230621003208 |
| Provider Name | Jennifer Laine Hagemeyer |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1316247851 PECOS PAC ID: 2567820574 Enrollment ID: I20230623001692 |
| Provider Name | Treya Krysyl Paquera |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376228080 PECOS PAC ID: 7719346444 Enrollment ID: I20230628004139 |
| Provider Name | Tyler Joseph Gamble |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245915883 PECOS PAC ID: 3577922194 Enrollment ID: I20230629002623 |
| Provider Name | Alyssia Webb |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1023767845 PECOS PAC ID: 2961862479 Enrollment ID: I20230715000758 |
| Provider Name | Imelda Espiritu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407180151 PECOS PAC ID: 9032571708 Enrollment ID: I20230811001198 |
| Provider Name | Anne Marie Brock |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1689457442 PECOS PAC ID: 5193187219 Enrollment ID: I20230821003362 |
| Provider Name | Steven Christian Padilla |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245015270 PECOS PAC ID: 5991169450 Enrollment ID: I20230915003414 |
| Provider Name | Grace Ruiz |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1215488077 PECOS PAC ID: 0547614026 Enrollment ID: I20231003000586 |
| Provider Name | Gerald Oler |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083493084 PECOS PAC ID: 7315392669 Enrollment ID: I20231006001460 |
| Provider Name | Norene Nagy |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922558014 PECOS PAC ID: 9830544485 Enrollment ID: I20231017001741 |
| Provider Name | Meghan Marissa Hillerich |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487021176 PECOS PAC ID: 6608220066 Enrollment ID: I20231018002358 |
| Provider Name | Mindy Joanne Cripe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710347679 PECOS PAC ID: 2466808126 Enrollment ID: I20231101000770 |
| Provider Name | Erwin Tolentino Escobar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225369812 PECOS PAC ID: 8224480462 Enrollment ID: I20240123004041 |
| Provider Name | Cynthia Anne Jackemeyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063274397 PECOS PAC ID: 2769835586 Enrollment ID: I20240129002180 |
| Provider Name | Natalie Tiffany |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336901271 PECOS PAC ID: 0042653388 Enrollment ID: I20240203000500 |
| Provider Name | Paula Ann Rowland |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346448016 PECOS PAC ID: 0648614628 Enrollment ID: I20240217000374 |
| Provider Name | Janet Kuhns |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1154712255 PECOS PAC ID: 2860836608 Enrollment ID: I20240220001993 |
| Provider Name | Anne Ajiyi Bamidele |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003068560 PECOS PAC ID: 9638515760 Enrollment ID: I20240312002699 |
| Provider Name | Natalie Pearce |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649036971 PECOS PAC ID: 6709222441 Enrollment ID: I20240315002412 |
| Provider Name | Emmanuel Rosana |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386864809 PECOS PAC ID: 4385081074 Enrollment ID: I20240318000437 |
| Provider Name | Audrey Lynn Creel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669231668 PECOS PAC ID: 6800233933 Enrollment ID: I20240325001118 |
| Provider Name | Rachel Maria Hopf |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1396442679 PECOS PAC ID: 1759729205 Enrollment ID: I20240403003166 |
| Provider Name | Kristen Nicole Nall |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518633189 PECOS PAC ID: 6800234121 Enrollment ID: I20240405001881 |
| Provider Name | Hanna Rose |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215665872 PECOS PAC ID: 6002255734 Enrollment ID: I20240415002122 |
| Provider Name | Jacqueline L Romaneschi |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831941251 PECOS PAC ID: 8123469020 Enrollment ID: I20240509001595 |
| Provider Name | Deepak Gurung |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003412198 PECOS PAC ID: 7315489549 Enrollment ID: I20240604000725 |
| Provider Name | Genevieve Luther |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275079345 PECOS PAC ID: 1759823529 Enrollment ID: I20240607001841 |
| Provider Name | Kristen Weber |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1073353769 PECOS PAC ID: 9032651617 Enrollment ID: I20240611001904 |
| Mailing Address | Practice Location Address |
|---|---|
| Healthpro Heritage Rehab & Fitness, Llc 1 Marcus Dr Ste 102, Greenville, SC 29615-4818 Ph: (615) 406-3997 | Healthpro Heritage Rehab & Fitness, Llc 343 E 90th Dr, Merrillville, IN 46410-8152 Ph: (219) 207-6100 |
Celemar Valdevieso Gentica, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 303 E 89th Ave, Merrillville, IN 46410 Phone: 219-738-3500 Fax: 219-738-6624 | |
Dr. Timothy Richard Fronek, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 521 E 86th Ave Ste J, Merrillville, IN 46410 Phone: 219-736-2801 | |
Kya Dyer, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 8690 Broadway Ste A, Merrillville, IN 46410 Phone: 219-627-2542 | |
Nora Abeledo De Mas, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3240 E 84th Pl, Merrillville, IN 46410 Phone: 219-791-0494 Fax: 219-791-0490 | |
Active Rehab & Wellness, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 65 E 73rd Ave, Merrillville, IN 46410 Phone: 219-741-2017 | |
Jocelyn Marquez, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1393 W 86th Ave, Merrillville, IN 46410 Phone: 219-791-0397 |