| Kewanee Physical Therapy And Rehab Specialists Llc | |
|
1258 W South St, Suite 1, Kewanee, IL 61443-8300 | |
| (866) 932-5400 | |
| (309) 932-8105 |
| Full Name | Kewanee Physical Therapy And Rehab Specialists Llc |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 1258 W South St, Kewanee, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629081906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 070009875 (Illinois) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
| Provider Name | Jon A Debord |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740247394 PECOS PAC ID: 1557330883 Enrollment ID: I20041001000944 |
| Provider Name | Scott G Salisbury |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487820411 PECOS PAC ID: 1052480746 Enrollment ID: I20080521000417 |
| Provider Name | April Dawn Taylor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598088981 PECOS PAC ID: 4385775998 Enrollment ID: I20100625000638 |
| Provider Name | Ashley S Egan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508294455 PECOS PAC ID: 8820225410 Enrollment ID: I20131205000238 |
| Provider Name | Nicholas J Interial |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346617628 PECOS PAC ID: 5395052435 Enrollment ID: I20150922001499 |
| Mailing Address | Practice Location Address |
|---|---|
| Kewanee Physical Therapy And Rehab Specialists Llc Po Box 3497, Sturtevant, WI 53177-3497 Ph: (877) 552-2996 | Kewanee Physical Therapy And Rehab Specialists Llc 1258 W South St, Suite 1, Kewanee, IL 61443-8300 Ph: (866) 932-5400 |
Mrs. Mary Kathleen Gordon, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1051 W South St, Kewanee, IL 61443 Phone: 309-852-7931 | |
Sheena Johnson, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 719 Elliott St, Kewanee, IL 61443 Phone: 309-852-6446 | |
Kelli E Rashid, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 125 South Street, Suite B, Kewanee, IL 61443 Phone: 309-852-2200 Fax: 309-852-2402 | |
Ashley Foglesong, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 110 E 10th St, Kewanee, IL 61443 Phone: 309-852-2200 Fax: 309-852-2402 | |
Jennifer Oetzel, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1051 W South St, Kewanee, IL 61443 Phone: 309-852-7547 |