| River Valley Physical Therapy Spine And Joint Center Llc | |
|
517 E North St, Bradley, IL 60915-1258 | |
| (815) 802-7503 | |
| (815) 802-7514 |
| Full Name | River Valley Physical Therapy Spine And Joint Center Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 517 E North St, Bradley, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144401233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Michelle L Zabin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730365792 PECOS PAC ID: 3072534288 Enrollment ID: I20051215000620 |
| Provider Name | Gerard Breuker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992820807 PECOS PAC ID: 9335224872 Enrollment ID: I20080308000057 |
| Provider Name | Melissa G Hyma |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093969974 PECOS PAC ID: 3173685302 Enrollment ID: I20081223000435 |
| Provider Name | Kelly M Bufford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497959647 PECOS PAC ID: 3779723408 Enrollment ID: I20130701000461 |
| Provider Name | Brandon Wayne Divan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790332807 PECOS PAC ID: 5092045138 Enrollment ID: I20191002002904 |
| Provider Name | Jennifer S Blanchette |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235153370 PECOS PAC ID: 6608296660 Enrollment ID: I20201014000479 |
| Mailing Address | Practice Location Address |
|---|---|
| River Valley Physical Therapy Spine And Joint Center Llc 517 E North St, Bradley, IL 60915-1258 Ph: (815) 802-7503 | River Valley Physical Therapy Spine And Joint Center Llc 517 E North St, Bradley, IL 60915-1258 Ph: (815) 802-7503 |
Angela Marie Davault, OT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 400 S Kennedy Dr, Bradley, IL 60915 Phone: 815-928-8051 | |
Mrs. Arlene De Leon Delacruz, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 400 South Kennedy Dr., Bradley, IL 60915 Phone: 815-935-7496 | |
Merissa Berns-gray, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 650 N Kinzie Ave, Bradley, IL 60915 Phone: 815-933-1666 | |
Melissa Hyma, PT, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 535 E North St Ste C, Bradley, IL 60915 Phone: 815-802-7503 Fax: 815-802-7514 | |
Mrs. Amy J Green, R.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 535 E North St Ste C, Bradley, IL 60915 Phone: 815-802-7503 Fax: 815-802-7514 | |
Rebecca Jane Maupin, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 517 E North St, Bradley, IL 60915 Phone: 815-802-7503 Fax: 815-802-7514 |