J D Nimrick, PT | |
3531 W Willow Knolls Dr, Peoria, IL 61614-1078 | |
(309) 683-6900 | |
(309) 683-6902 |
Full Name | J D Nimrick |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 3531 W Willow Knolls Dr, Peoria, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154393254 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 070-009321 (Illinois) | Primary |
Provider Name | Ivyrehab Physical Therapy Pllc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1376917187 PECOS PAC ID: 7012997638 Enrollment ID: O20160304000277 |
Mailing Address | Practice Location Address |
---|---|
J D Nimrick, PT 205 W Wacker Dr, Suite 1020, Chicago, IL 60606-1216 Ph: (312) 640-0329 | J D Nimrick, PT 3531 W Willow Knolls Dr, Peoria, IL 61614-1078 Ph: (309) 683-6900 |
Michelle C Bayer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2338 W Van Winkle Way, Suite 3100, Peoria, IL 61615 Phone: 309-693-9189 Fax: 309-693-9946 | |
Payton Hufnagel, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6501 N Sheridan Rd, Peoria, IL 61614 Phone: 309-883-5070 | |
Jonathan R Sutter, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 530 Ne Glen Oak Ave, Peoria, IL 61637 Phone: 309-655-4109 | |
Matthew Schultz, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6501 N Sheridan Rd, Peoria, IL 61614 Phone: 309-621-4111 | |
Molly D Lisenby, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5009 N Executive Dr Ste B, Peoria, IL 61614 Phone: 309-839-8631 Fax: 855-579-3536 | |
Vanessa L Halstead, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 507 E Armstrong Ave, Peoria, IL 61603 Phone: 309-686-1177 Fax: 309-687-2035 | |
Mrs. Theresa L. Snedden, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6501 N Sheridan Rd, Peoria, IL 61614 Phone: 309-692-8110 |