| Kayla Rose, PT | |
|
3785 N Water St, Decatur, IL 62526-1858 | |
| (217) 675-7111 | |
| Not Available |
| Full Name | Kayla Rose |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 3785 N Water St, Decatur, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124868088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070.028291 (Illinois) | Primary |
| Provider Name | Ivyrehab Physical Therapy Pllc |
|---|---|
| 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 |
|---|---|
| Kayla Rose, PT Po Box 416501, Boston, MA 02241-7594 Ph: (914) 294-4050 | Kayla Rose, PT 3785 N Water St, Decatur, IL 62526-1858 Ph: (217) 675-7111 |
Jaclyn Nicole Kleman, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-2600 Fax: 217-876-2615 | |
Don Michael Kyle Sr., P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 3122 Brettwood Cir, Decatur, IL 62526 Phone: 217-876-4600 | |
Jaycee Cabalatungan Cristales, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 136 S Dipper Ln, Decatur, IL 62522 Phone: 217-428-7767 | |
Mrs. Elizabeth Komnick, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2300 N. Edward St., Decatur, IL 62526 Phone: 217-876-2600 Fax: 217-876-2615 | |
Mrs. Linda Sue Miller I, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-8121 Fax: 217-876-2261 | |
Morgan Belskamper, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2300 N Edward St, Decatur, IL 62526 Phone: 217-876-2600 |