| Mr Matthew L Komnick, PT | |
|
310 E Van Buren St, Clinton, IL 61727-2266 | |
| (217) 935-4380 | |
| (217) 935-0802 |
| Full Name | Mr Matthew L Komnick |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 310 E Van Buren St, Clinton, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043340706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Illinois) | Primary |
| Provider Name | Empowerme Rehabilitation Illinois Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1679098263 PECOS PAC ID: 2365718277 Enrollment ID: O20171020001353 |
| Provider Name | Empowerme Wellness Kansas City Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1174118103 PECOS PAC ID: 9830504836 Enrollment ID: O20210317001954 |
| Provider Name | Imboden Creek Gardens Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1891456216 PECOS PAC ID: 8820465537 Enrollment ID: O20221109003485 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Matthew L Komnick, PT 624 N Center St, Clinton, IL 61727-1408 Ph: () - | Mr Matthew L Komnick, PT 310 E Van Buren St, Clinton, IL 61727-2266 Ph: (217) 935-4380 |
Carrie M Tedrick, DPT, ATC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 215 S Grant St, Clinton, IL 61727 Phone: 904-347-6808 | |
Chw Physical Therapy Pc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 E Side Sq, Clinton, IL 61727 Phone: 217-935-4380 Fax: 217-935-0802 | |
Rachel Kerr, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 204 E Washington St, Clinton, IL 61727 Phone: 217-570-0225 Fax: 217-570-0227 | |
Ivyrehab Physical Therapy Pllc Physical Therapist Medicare: Medicare Enrolled Practice Location: 204 E Washington St, Clinton, IL 61727 Phone: 217-570-0225 Fax: 217-570-0227 | |
Hughes Physical Therapy Clinic Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 S Center Street, Suite 201, Clinton, IL 61727 Phone: 217-935-2688 Fax: 217-935-8239 | |
Mrs. Cheryl Dement, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 215 W White St, Clinton, IL 61727 Phone: 217-937-5224 Fax: 217-937-5360 |