| Rock Valley Physical Therapy Center | |
|
321 Washington St, Prophetstown, IL 61277-1105 | |
| (815) 537-8899 | |
| (815) 537-8802 |
| Full Name | Rock Valley Physical Therapy Center |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 321 Washington St, Prophetstown, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619107067 | NPI | - | NPPES |
| 555650 | Other | IL | GROUP BILLING # FOR O.T. |
| 555640 | Other | IL | GROUP BILLING # FOR P.T. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (Illinois) | Primary |
| 225X00000X | Occupational Therapist | (Illinois) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Rock Valley Physical Therapy Center 850 43rd Ave, Suite 100, Moline, IL 61265-8401 Ph: (309) 743-2070 | Rock Valley Physical Therapy Center 321 Washington St, Prophetstown, IL 61277-1105 Ph: (815) 537-8899 |
Kristie L Boll, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 321 Washington St, Prophetstown, IL 61277 Phone: 815-537-8899 Fax: 815-537-8802 | |
Richa S Vaidya, PHYSICAL THERAPIST Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 E 3rd St, Prophetstown, IL 61277 Phone: 847-347-5254 | |
Brooke Russell, D.P.T. Physical Therapist Medicare: Medicare Enrolled Practice Location: 321 Washington St, Prophetstown, IL 61277 Phone: 815-537-8899 |