| Empowerme Rehabilitation Illinois, Llc | |
|
7108 Marine Rd Edwardsville IL 62025-4282 | |
| (844) 502-7996 | |
| Not Available |
| Full Name | Empowerme Rehabilitation Illinois, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7108 Marine Rd, Edwardsville, Illinois |
| Authorized Official Name and Position | John David Church (VICE PRESIDENT OF FINANCE) |
| Authorized Official Contact | 6189725228 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowerme Rehabilitation Illinois, Llc Po Box 736005 Dallas TX 75373-6005 Ph: (844) 502-7996 | Empowerme Rehabilitation Illinois, Llc 7108 Marine Rd Edwardsville IL 62025-4282 Ph: (844) 502-7996 |
| NPI Number | 1679098263 |
|---|---|
| Provider Enumeration Date | 08/04/2017 |
| Last Update Date | 09/04/2024 |
| Medicare PECOS PAC ID | 2365718277 |
|---|---|
| Medicare Enrollment ID | O20171020001353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679098263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Teresa Marie O'sullivan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164916078 PECOS PAC ID: 2769456193 Enrollment ID: I20040823000517 |
| Provider Name | Michelle Louise Biel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487870085 PECOS PAC ID: 0244205946 Enrollment ID: I20041008001329 |
| Provider Name | Eric Thomas Glow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558336123 PECOS PAC ID: 8921039082 Enrollment ID: I20050829000305 |
| Provider Name | Katie Beth Rowland |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760731145 PECOS PAC ID: 9335158971 Enrollment ID: I20060427000284 |
| Provider Name | Shonna L Fortschneider |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528053055 PECOS PAC ID: 2567568843 Enrollment ID: I20070502000540 |
| Provider Name | Ramil A Reyes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255546727 PECOS PAC ID: 3779678008 Enrollment ID: I20071002000552 |
| Provider Name | Matthew L Komnick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043340706 PECOS PAC ID: 6406941277 Enrollment ID: I20071009000446 |
| Provider Name | Valerie A Creviston |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093856569 PECOS PAC ID: 8123118627 Enrollment ID: I20071220000608 |
| Provider Name | Stacie D Chambliss |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780832253 PECOS PAC ID: 1951461342 Enrollment ID: I20081114000378 |
| Provider Name | Sarah Surprenant |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689859944 PECOS PAC ID: 7810057437 Enrollment ID: I20081126000417 |
| Provider Name | Erica L Frangiamore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154569291 PECOS PAC ID: 5294882981 Enrollment ID: I20090415000540 |
| Provider Name | Tanya M Knauff |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164656567 PECOS PAC ID: 4284784075 Enrollment ID: I20090617000329 |
| Provider Name | Patricia M H Kalarovich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801882840 PECOS PAC ID: 3173518594 Enrollment ID: I20090722000601 |
| Provider Name | Molly S Rikas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487883930 PECOS PAC ID: 7315085925 Enrollment ID: I20091118000497 |
| Provider Name | Carrie A Lithgow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073738738 PECOS PAC ID: 8921135203 Enrollment ID: I20100419000117 |
| Provider Name | Jeffrey S Owens |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730415621 PECOS PAC ID: 1052448057 Enrollment ID: I20100423000017 |
| Provider Name | Laura Jo Jenkins |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720218852 PECOS PAC ID: 5799831582 Enrollment ID: I20100625000022 |
| Provider Name | Sarah Wagoner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639484413 PECOS PAC ID: 2961683354 Enrollment ID: I20110217000582 |
| Provider Name | Michelle M Mcpherson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184758963 PECOS PAC ID: 3971766924 Enrollment ID: I20120531000515 |
| Provider Name | Sheryl B Bucasas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629327838 PECOS PAC ID: 0446495386 Enrollment ID: I20130326000381 |
| Provider Name | Jennifer E Sipula |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053639641 PECOS PAC ID: 9032233739 Enrollment ID: I20130619000543 |
| Provider Name | Dana N Houk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255752499 PECOS PAC ID: 9638306343 Enrollment ID: I20131227001507 |
| Provider Name | Kimberly Payne |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1831335520 PECOS PAC ID: 1052541554 Enrollment ID: I20140303000179 |
| Provider Name | Sara J Townsend |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003232455 PECOS PAC ID: 2668690371 Enrollment ID: I20140821001423 |
| Provider Name | Julie V Seibert |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952576357 PECOS PAC ID: 5597084657 Enrollment ID: I20150512001626 |
| Provider Name | Megan Kamp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124412663 PECOS PAC ID: 5991025983 Enrollment ID: I20150514000934 |
| Provider Name | Paige E Beck |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1326440652 PECOS PAC ID: 4688994395 Enrollment ID: I20150520002215 |
| Provider Name | Jennifer Bentley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609244813 PECOS PAC ID: 0143537480 Enrollment ID: I20150917002935 |
| Provider Name | Gregory Hamilton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376806836 PECOS PAC ID: 5991008534 Enrollment ID: I20160114002219 |
| Provider Name | Merinda Passmore |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1790996163 PECOS PAC ID: 5395044085 Enrollment ID: I20160502001122 |
| Provider Name | Lori Toennies |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639344377 PECOS PAC ID: 2860566437 Enrollment ID: I20160519001604 |
| Provider Name | Terese C Hendrickson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104268606 PECOS PAC ID: 1759675754 Enrollment ID: I20160815001765 |
| Provider Name | Joyce L Hart |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1215307475 PECOS PAC ID: 9133415060 Enrollment ID: I20160901001236 |
| Provider Name | Sandra Simmons |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1174729339 PECOS PAC ID: 5193005155 Enrollment ID: I20161208000712 |
| Provider Name | Kristen L Pitts |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225495286 PECOS PAC ID: 6608157383 Enrollment ID: I20170112000066 |
| Provider Name | Kaylee Weber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588056659 PECOS PAC ID: 7618250911 Enrollment ID: I20170213000265 |
| Provider Name | Jurizon A Atienza |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932537578 PECOS PAC ID: 2466735428 Enrollment ID: I20170217000025 |
| Provider Name | Julie A Reichert |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275803405 PECOS PAC ID: 4486930484 Enrollment ID: I20170405001606 |
| Provider Name | Jenna M Ruholl |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851847313 PECOS PAC ID: 6406133461 Enrollment ID: I20170501001966 |
| Provider Name | Tracy K Mertes |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1255698999 PECOS PAC ID: 5092083667 Enrollment ID: I20170622002835 |
| Provider Name | Adrienne L Schuh |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205278314 PECOS PAC ID: 4880965334 Enrollment ID: I20170802002030 |
| Provider Name | Lindsey K Cusumano |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649791484 PECOS PAC ID: 7012288483 Enrollment ID: I20170802003674 |
| Provider Name | Anju Behal |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457555344 PECOS PAC ID: 0244503753 Enrollment ID: I20170905003510 |
| Provider Name | Bonnie L Pyatt |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265585194 PECOS PAC ID: 6901162940 Enrollment ID: I20171108001726 |
| Provider Name | Ray Besst |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750816146 PECOS PAC ID: 5193081917 Enrollment ID: I20171113000159 |
| Provider Name | Shannon P Gengenbacher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003228263 PECOS PAC ID: 9638435464 Enrollment ID: I20171113000621 |
| Provider Name | Catherine Carrier |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457609448 PECOS PAC ID: 4789941477 Enrollment ID: I20171205002910 |
| Provider Name | Joanne M Woodard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932437423 PECOS PAC ID: 4880953249 Enrollment ID: I20180111000627 |
| Provider Name | Julie Marie Buchheit |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336567114 PECOS PAC ID: 0941569305 Enrollment ID: I20180111000795 |
| Provider Name | Haylee Claire Munie |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1295258234 PECOS PAC ID: 1456610864 Enrollment ID: I20180117002432 |
| Provider Name | Christina D Szczepanek |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1003183419 PECOS PAC ID: 0648539445 Enrollment ID: I20180124003467 |
| Provider Name | Jacqueline Toinette Johnson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679727671 PECOS PAC ID: 3779842497 Enrollment ID: I20180125001052 |
| Provider Name | Elizabeth M Howard |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1275834772 PECOS PAC ID: 2769744671 Enrollment ID: I20180312002650 |
| Provider Name | Paige Elizabeth Johnson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699120477 PECOS PAC ID: 3476815911 Enrollment ID: I20180322000624 |
| Provider Name | Traci Raper |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598906497 PECOS PAC ID: 5698030344 Enrollment ID: I20180530000016 |
| Provider Name | Kathleen M Ogrady |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104331040 PECOS PAC ID: 4688939168 Enrollment ID: I20180604002457 |
| Provider Name | Linda A Hoover |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932235439 PECOS PAC ID: 9032464532 Enrollment ID: I20180625003276 |
| Provider Name | Courtney Erin Doyle |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477731289 PECOS PAC ID: 7618225160 Enrollment ID: I20180731003611 |
| Provider Name | Hany Beshara |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023024452 PECOS PAC ID: 5991053084 Enrollment ID: I20180806003396 |
| Provider Name | Ami C Neder |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245565316 PECOS PAC ID: 0143481333 Enrollment ID: I20180926001176 |
| Provider Name | Caitlin Schober |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740790211 PECOS PAC ID: 1153674064 Enrollment ID: I20181023001881 |
| Provider Name | Ryan D Beaty |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427505007 PECOS PAC ID: 5597000232 Enrollment ID: I20181227000871 |
| Provider Name | Julie Mcveigh |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750560447 PECOS PAC ID: 0042556474 Enrollment ID: I20190107001449 |
| Provider Name | Abigail Lynn Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881084705 PECOS PAC ID: 2961749940 Enrollment ID: I20190129002755 |
| Provider Name | Rachel Merideth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720401557 PECOS PAC ID: 1557584091 Enrollment ID: I20190222001871 |
| Provider Name | Ashley Phillips |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164988184 PECOS PAC ID: 5395084339 Enrollment ID: I20190308001255 |
| Provider Name | Holley Anne Friesz Heidel |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1528206745 PECOS PAC ID: 6103169115 Enrollment ID: I20190515000011 |
| Provider Name | Ann Christine Davis |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1548554975 PECOS PAC ID: 6901149533 Enrollment ID: I20190522000637 |
| Provider Name | Deanna Tebbe |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1801043492 PECOS PAC ID: 1658614227 Enrollment ID: I20190522001869 |
| Provider Name | Peyton Michele Wright |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1932684636 PECOS PAC ID: 4880937309 Enrollment ID: I20190523001264 |
| Provider Name | Ashley Taylor Keehner |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1285287367 PECOS PAC ID: 5092041285 Enrollment ID: I20190725001976 |
| Provider Name | Kyle Andrew Lucca |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326528936 PECOS PAC ID: 4183950934 Enrollment ID: I20190731002722 |
| Provider Name | Cristy Tripp |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366685844 PECOS PAC ID: 5698002293 Enrollment ID: I20190805002812 |
| Provider Name | Candace Palmer |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1265784219 PECOS PAC ID: 9032416243 Enrollment ID: I20190821004381 |
| Provider Name | Megan R Dekam |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427612001 PECOS PAC ID: 7719215136 Enrollment ID: I20190823000126 |
| Provider Name | Denise Anne Mudronja |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750654455 PECOS PAC ID: 6305174590 Enrollment ID: I20190826003858 |
| Provider Name | Stacey Marker |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1609022169 PECOS PAC ID: 7911236435 Enrollment ID: I20190909003970 |
| Provider Name | Carrie A. Randell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942220819 PECOS PAC ID: 0941531701 Enrollment ID: I20191008003617 |
| Provider Name | Hayley P Kennard |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1720588957 PECOS PAC ID: 2769714799 Enrollment ID: I20191024001376 |
| Provider Name | Morgan J Dolan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326696022 PECOS PAC ID: 6800128729 Enrollment ID: I20191025002574 |
| Provider Name | Brittany Vanhooser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568854834 PECOS PAC ID: 5597091033 Enrollment ID: I20191104000827 |
| Provider Name | Kyle John Blievernicht |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154970721 PECOS PAC ID: 2668704057 Enrollment ID: I20191105000965 |
| Provider Name | Angela Summers |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1295126662 PECOS PAC ID: 4082047030 Enrollment ID: I20191204002073 |
| Provider Name | Taylor Marie Dittmann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215475223 PECOS PAC ID: 8729318126 Enrollment ID: I20191205001284 |
| Provider Name | Dawid Lysiak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598302150 PECOS PAC ID: 9537594031 Enrollment ID: I20200109002875 |
| Provider Name | Elizabeth Omotayo Abe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790220283 PECOS PAC ID: 7012343940 Enrollment ID: I20200212001316 |
| Provider Name | Brenn Killion |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194113514 PECOS PAC ID: 9931537842 Enrollment ID: I20200306001571 |
| Provider Name | Taylor Lynne Stratton |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1336705508 PECOS PAC ID: 5294163630 Enrollment ID: I20200317002085 |
| Provider Name | Abagail Nicole Fields |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700419561 PECOS PAC ID: 5092146803 Enrollment ID: I20200512000832 |
| Provider Name | Kenya Nicole Wells |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952682155 PECOS PAC ID: 8820419674 Enrollment ID: I20200602002875 |
| Provider Name | Jessica Voyles |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568791168 PECOS PAC ID: 7315207602 Enrollment ID: I20200824000047 |
| Provider Name | Deborah Klyczek |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659527661 PECOS PAC ID: 9638444615 Enrollment ID: I20200827000952 |
| Provider Name | Paige Richards |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053925842 PECOS PAC ID: 0648699470 Enrollment ID: I20200929001082 |
| Provider Name | Jaime Lynn Skizas |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649605205 PECOS PAC ID: 8325467939 Enrollment ID: I20201001000673 |
| Provider Name | Mary Hall |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366869117 PECOS PAC ID: 6406275916 Enrollment ID: I20201002001002 |
| Provider Name | Chelsey D Boeser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508471699 PECOS PAC ID: 5890115513 Enrollment ID: I20201020000352 |
| Provider Name | Celeste Romero |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255980157 PECOS PAC ID: 8729408687 Enrollment ID: I20201029002624 |
| Provider Name | Caitlyn Nicole Orawiec |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679175590 PECOS PAC ID: 4789095241 Enrollment ID: I20201204002061 |
| Provider Name | Jami Ann Gruenloh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184870495 PECOS PAC ID: 4284876608 Enrollment ID: I20210107002229 |
| Provider Name | Victoria Lynn Kite |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174733414 PECOS PAC ID: 4082675400 Enrollment ID: I20210119002367 |
| Provider Name | Stacey Mitchell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114514999 PECOS PAC ID: 4981018579 Enrollment ID: I20210121002142 |
| Provider Name | Brandy D Trobaugh |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912151598 PECOS PAC ID: 2163837675 Enrollment ID: I20210216000674 |
| Provider Name | Katelyn L Kinscherf |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548656671 PECOS PAC ID: 7911313655 Enrollment ID: I20210304001279 |
| Provider Name | Ashlie Kristina Mitchell |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1831454172 PECOS PAC ID: 8022424225 Enrollment ID: I20210315000335 |
| Provider Name | Brooke Elizabeth Hille |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053823534 PECOS PAC ID: 3870900988 Enrollment ID: I20210407001023 |
| Provider Name | Emily Vice |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558963900 PECOS PAC ID: 3476963844 Enrollment ID: I20210415000413 |
| Provider Name | Anthon Sarita |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750625851 PECOS PAC ID: 9032527791 Enrollment ID: I20210416001973 |
| Provider Name | Yvonne Cosentino |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750416988 PECOS PAC ID: 7416365754 Enrollment ID: I20210426001871 |
| Provider Name | Kara Marie Timmermann |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1063906592 PECOS PAC ID: 4587073242 Enrollment ID: I20210510001034 |
| Provider Name | Ralph Edward Saballa Junquera |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780887505 PECOS PAC ID: 3870902497 Enrollment ID: I20210512001549 |
| Provider Name | Danielle Koehn |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1245627876 PECOS PAC ID: 1355740564 Enrollment ID: I20210520000605 |
| Provider Name | Ashley Rose Koetters |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1235703398 PECOS PAC ID: 8224437447 Enrollment ID: I20210527002104 |
| Provider Name | Christy Rochele Ogden |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1144852831 PECOS PAC ID: 9032518691 Enrollment ID: I20210602000430 |
| Provider Name | Rachel Watson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093342503 PECOS PAC ID: 9436559721 Enrollment ID: I20210608001235 |
| Provider Name | Laura Anne Thoma |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1447594585 PECOS PAC ID: 0143620310 Enrollment ID: I20210609001008 |
| Provider Name | Haley Berghoefer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093210411 PECOS PAC ID: 7911248471 Enrollment ID: I20210609001826 |
| Provider Name | Erica Christine Wilson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1851646822 PECOS PAC ID: 2264832302 Enrollment ID: I20210611001057 |
| Provider Name | Andrea Marie Bryan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306413687 PECOS PAC ID: 6103226626 Enrollment ID: I20210621000992 |
| Provider Name | Hannah Slimack |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1710580717 PECOS PAC ID: 9133520570 Enrollment ID: I20210623001807 |
| Provider Name | Kristin Lane Beninati |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1376112037 PECOS PAC ID: 6204237167 Enrollment ID: I20210629002795 |
| Provider Name | Jared Johnston |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104434604 PECOS PAC ID: 0840692125 Enrollment ID: I20210708002744 |
| Provider Name | Jane Ellen Cline |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669593380 PECOS PAC ID: 0345642013 Enrollment ID: I20210719000460 |
| Provider Name | Erin Spaniol |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912443409 PECOS PAC ID: 5799188033 Enrollment ID: I20210726000354 |
| Provider Name | Mary Heitzig |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366047607 PECOS PAC ID: 3678976818 Enrollment ID: I20210726000789 |
| Provider Name | Lori Leeann Hoover |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700472370 PECOS PAC ID: 3779986682 Enrollment ID: I20210729000123 |
| Provider Name | Avril Prabakaran |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295063394 PECOS PAC ID: 2961805817 Enrollment ID: I20210729001682 |
| Provider Name | Ariel Paige Prost |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013580877 PECOS PAC ID: 8022411883 Enrollment ID: I20210730002117 |
| Provider Name | Danika Wilson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356716500 PECOS PAC ID: 2668875436 Enrollment ID: I20210730002549 |
| Provider Name | Sharon Lee Varns |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922256098 PECOS PAC ID: 1850795642 Enrollment ID: I20210802000049 |
| Provider Name | Kalista G Lutes |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992378475 PECOS PAC ID: 7315341088 Enrollment ID: I20210803003428 |
| Provider Name | Eulogio Talili |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972064368 PECOS PAC ID: 4587068499 Enrollment ID: I20210813001033 |
| Provider Name | Krista Elizabeth Zerrusen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972136935 PECOS PAC ID: 4880099324 Enrollment ID: I20210823001090 |
| Provider Name | Becky Elizabeth Walk |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1952941809 PECOS PAC ID: 3870998347 Enrollment ID: I20210823001549 |
| Provider Name | Molly Muhl |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558036228 PECOS PAC ID: 0345645685 Enrollment ID: I20210824002685 |
| Provider Name | Lindsay Forsythe |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1225703879 PECOS PAC ID: 2466857743 Enrollment ID: I20210825000745 |
| Provider Name | Kathy Stegle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538333877 PECOS PAC ID: 4082019591 Enrollment ID: I20210826002735 |
| Provider Name | Ann Colleen Nasvytis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124221254 PECOS PAC ID: 5395076392 Enrollment ID: I20210831003355 |
| Provider Name | Madeline Kaye Weyland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376218248 PECOS PAC ID: 5496151607 Enrollment ID: I20210913002462 |
| Provider Name | James Walter Chamales |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790452654 PECOS PAC ID: 8820495971 Enrollment ID: I20210916001774 |
| Provider Name | Hailey N Cundiff |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1336759281 PECOS PAC ID: 0244637148 Enrollment ID: I20210920002409 |
| Provider Name | Bailey Elizabeth Hopkins |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669044723 PECOS PAC ID: 1254738883 Enrollment ID: I20210924001565 |
| Provider Name | Daniel Low |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306255591 PECOS PAC ID: 0446658488 Enrollment ID: I20211006001097 |
| Provider Name | Stephen David Judson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1548932155 PECOS PAC ID: 1850799271 Enrollment ID: I20211014002145 |
| Provider Name | Bailey Griggs |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1598427031 PECOS PAC ID: 6204224447 Enrollment ID: I20211021000197 |
| Provider Name | Haley Buller |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740774132 PECOS PAC ID: 2264820430 Enrollment ID: I20211021001576 |
| Provider Name | Kristyn S Hager |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386047058 PECOS PAC ID: 8527456961 Enrollment ID: I20211103003245 |
| Provider Name | Kaneisha Hoehn |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023641883 PECOS PAC ID: 3779972054 Enrollment ID: I20211106000202 |
| Provider Name | Andrew Knight |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275202285 PECOS PAC ID: 8325437635 Enrollment ID: I20211108001106 |
| Provider Name | Joni Marie Whitfield |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326702424 PECOS PAC ID: 2860881117 Enrollment ID: I20211108002638 |
| Provider Name | Christina Taylor |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1043476880 PECOS PAC ID: 7113315482 Enrollment ID: I20211122002860 |
| Provider Name | Eungsoo Shin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548706690 PECOS PAC ID: 1951790419 Enrollment ID: I20211123000409 |
| Provider Name | Shannon Rae Throgmorton |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1205592938 PECOS PAC ID: 8224428594 Enrollment ID: I20211130001263 |
| Provider Name | Katrina Williams |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801424957 PECOS PAC ID: 5799175055 Enrollment ID: I20211201001651 |
| Provider Name | Lori Kay Schniers |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699070284 PECOS PAC ID: 2961892906 Enrollment ID: I20211206000946 |
| Provider Name | Kara Lee Vallette |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114108842 PECOS PAC ID: 8022409259 Enrollment ID: I20211227000099 |
| Provider Name | Sadie Siddons |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548920119 PECOS PAC ID: 2567853435 Enrollment ID: I20220104000152 |
| Provider Name | Morgan Knisley |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093475139 PECOS PAC ID: 9739572561 Enrollment ID: I20220131001193 |
| Provider Name | Sierra N Wittenauer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366195943 PECOS PAC ID: 4385037860 Enrollment ID: I20220211001857 |
| Provider Name | Bernice Ziganto |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1982355988 PECOS PAC ID: 8628461654 Enrollment ID: I20220215000883 |
| Provider Name | Laura Davis |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1821532052 PECOS PAC ID: 2466845383 Enrollment ID: I20220216002144 |
| Provider Name | Maggie Renee Kuykendall |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1376722298 PECOS PAC ID: 1355735259 Enrollment ID: I20220217002627 |
| Provider Name | Emily Kay Teague |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932853587 PECOS PAC ID: 7113311051 Enrollment ID: I20220218001213 |
| Provider Name | Lovelia Cabrera Horn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487909446 PECOS PAC ID: 7911391719 Enrollment ID: I20220221001163 |
| Provider Name | Mitchell Kocher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538839089 PECOS PAC ID: 7618361957 Enrollment ID: I20220302000525 |
| Provider Name | Elizabeth Victoria Rohde |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518434356 PECOS PAC ID: 9739573841 Enrollment ID: I20220311000312 |
| Provider Name | Lindsay Mcguire |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740796614 PECOS PAC ID: 9133514706 Enrollment ID: I20220317000542 |
| Provider Name | Sarah Katherine Eigsti |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1487178372 PECOS PAC ID: 4082009667 Enrollment ID: I20220317000785 |
| Provider Name | Samantha Jo Cameron |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093468282 PECOS PAC ID: 9234524836 Enrollment ID: I20220317001819 |
| Provider Name | Miriam Hoffmann |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245988070 PECOS PAC ID: 3678968161 Enrollment ID: I20220320000021 |
| Provider Name | Hannah Elise Henss |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144879610 PECOS PAC ID: 3678969508 Enrollment ID: I20220401001168 |
| Provider Name | Sara Michelle Powers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700247608 PECOS PAC ID: 3375939374 Enrollment ID: I20220401001338 |
| Provider Name | Michael Pantig |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659848646 PECOS PAC ID: 6002202488 Enrollment ID: I20220412001497 |
| Provider Name | Christina Padilla |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1831462688 PECOS PAC ID: 8628464997 Enrollment ID: I20220413002594 |
| Provider Name | Jessica Ross |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1992345243 PECOS PAC ID: 8628464963 Enrollment ID: I20220420001882 |
| Provider Name | Alyssa Walters |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255818928 PECOS PAC ID: 9234489790 Enrollment ID: I20220422002457 |
| Provider Name | Lesley Anne Blackford |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1942466180 PECOS PAC ID: 0547657488 Enrollment ID: I20220425001375 |
| Provider Name | Kelsey Sullivan |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1346506789 PECOS PAC ID: 8224415336 Enrollment ID: I20220511000983 |
| Provider Name | Jennifer Kicielinski |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1902107782 PECOS PAC ID: 6103203195 Enrollment ID: I20220512001391 |
| Provider Name | Ashley Nicole Conway |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356086359 PECOS PAC ID: 8527445600 Enrollment ID: I20220517001893 |
| Provider Name | Tara Busch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700088747 PECOS PAC ID: 9133506116 Enrollment ID: I20220518002150 |
| Provider Name | Kierstyn B Green |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1558883215 PECOS PAC ID: 6709263189 Enrollment ID: I20220525000623 |
| Provider Name | John Malacad Abantao |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003554759 PECOS PAC ID: 4183002165 Enrollment ID: I20220602002674 |
| Provider Name | Mackenzi Jo Tallcott |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1104374602 PECOS PAC ID: 9133507072 Enrollment ID: I20220603002344 |
| Provider Name | Faheeda Khan |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1043955677 PECOS PAC ID: 9638557424 Enrollment ID: I20220607002389 |
| Provider Name | Sheina Burillo Norgaard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215165097 PECOS PAC ID: 8628456126 Enrollment ID: I20220610001479 |
| Provider Name | Aaron Foster Sage |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760999155 PECOS PAC ID: 8224417464 Enrollment ID: I20220620000230 |
| Provider Name | Rachel Holliday |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457080798 PECOS PAC ID: 7113306077 Enrollment ID: I20220623000791 |
| Provider Name | Sydney Hickman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1780193466 PECOS PAC ID: 3173903655 Enrollment ID: I20220629003198 |
| Provider Name | Megan Elizabeth Lindsay |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1083358964 PECOS PAC ID: 1052791134 Enrollment ID: I20220707000573 |
| Provider Name | Cheryl Clemens |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1194326363 PECOS PAC ID: 8820401334 Enrollment ID: I20220712002889 |
| Provider Name | Marilu Kaisershot |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1992959969 PECOS PAC ID: 9335530005 Enrollment ID: I20220714003822 |
| Provider Name | James Keeton |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1073993960 PECOS PAC ID: 9739560061 Enrollment ID: I20220719000417 |
| Provider Name | Jenny Cook |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1861918450 PECOS PAC ID: 2961883996 Enrollment ID: I20220721001634 |
| Provider Name | Talal Chaudhary |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508529447 PECOS PAC ID: 6305228461 Enrollment ID: I20220805001490 |
| Provider Name | Ashley C West |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1962747956 PECOS PAC ID: 9133365448 Enrollment ID: I20220811001971 |
| Provider Name | Richard Erler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568197127 PECOS PAC ID: 0042693673 Enrollment ID: I20220815003167 |
| Provider Name | Jimmy Dapog |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164780185 PECOS PAC ID: 0840673281 Enrollment ID: I20220817001370 |
| Provider Name | Angela Irene Winchester |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669017836 PECOS PAC ID: 5395128078 Enrollment ID: I20220818001250 |
| Provider Name | Claire Burmester |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659018851 PECOS PAC ID: 7416331285 Enrollment ID: I20220826002995 |
| Provider Name | Lauren Elizabeth St Germain |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1992901029 PECOS PAC ID: 5294119772 Enrollment ID: I20220901000677 |
| Provider Name | Mallory Ann Doedtman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982042461 PECOS PAC ID: 2961887955 Enrollment ID: I20220912001520 |
| Provider Name | Claudia Mendez |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1952575383 PECOS PAC ID: 2365827169 Enrollment ID: I20220914003456 |
| Provider Name | Brooke Nicole Whittington |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1427778612 PECOS PAC ID: 9234514985 Enrollment ID: I20220915001832 |
| Provider Name | Stephanie Lynn Neiswender |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1013192863 PECOS PAC ID: 7315322989 Enrollment ID: I20220917000505 |
| Provider Name | Tara Renee Carr |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1831669555 PECOS PAC ID: 9931585122 Enrollment ID: I20220926000507 |
| Provider Name | Laura Chiu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104946474 PECOS PAC ID: 1951787159 Enrollment ID: I20220926000881 |
| Provider Name | Armelito Oca Rebong |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275860686 PECOS PAC ID: 0749666949 Enrollment ID: I20220926000986 |
| Provider Name | Lonzie Tripple |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1780069443 PECOS PAC ID: 8628454675 Enrollment ID: I20220929000502 |
| Provider Name | Erin Kathleen Campbell |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326772054 PECOS PAC ID: 2961888284 Enrollment ID: I20221010002121 |
| Provider Name | Angela Creasy |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1396383113 PECOS PAC ID: 1557743192 Enrollment ID: I20221013000618 |
| Provider Name | Faye Boldwyn-stephens |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1679778344 PECOS PAC ID: 0648646133 Enrollment ID: I20221025002628 |
| Provider Name | Taylor D Coblentz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417678996 PECOS PAC ID: 7012383433 Enrollment ID: I20221026000682 |
| Provider Name | Amanda Martin |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508287236 PECOS PAC ID: 7810364262 Enrollment ID: I20221027003130 |
| Provider Name | Ashleigh E Doub |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1285355834 PECOS PAC ID: 3870960826 Enrollment ID: I20221103000642 |
| Provider Name | Kimberlie J Koester-bender |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316977291 PECOS PAC ID: 1557738267 Enrollment ID: I20221109003493 |
| Provider Name | Bailey Pruemer |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1942945852 PECOS PAC ID: 8325415839 Enrollment ID: I20221111001529 |
| Provider Name | Jenna Schardt |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922725233 PECOS PAC ID: 4486022894 Enrollment ID: I20221116000782 |
| Provider Name | Madison Volpert |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659035939 PECOS PAC ID: 5193193225 Enrollment ID: I20221122001021 |
| Provider Name | Dawn Maureen Tan Clam |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760794325 PECOS PAC ID: 4183092752 Enrollment ID: I20221202000053 |
| Provider Name | Stephanie R. O'neal |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1770729956 PECOS PAC ID: 3577932110 Enrollment ID: I20221219002836 |
| Provider Name | Tina Vogel |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1154542751 PECOS PAC ID: 4688912280 Enrollment ID: I20230105000646 |
| Provider Name | Dana Angel Rocha |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285028084 PECOS PAC ID: 3779953765 Enrollment ID: I20230109001993 |
| Provider Name | Tori Grant |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477263655 PECOS PAC ID: 5294105136 Enrollment ID: I20230110001670 |
| Provider Name | Meredith Wylie Flahan |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1073235198 PECOS PAC ID: 6608247341 Enrollment ID: I20230117002537 |
| Provider Name | Rebecca J Otten |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639883523 PECOS PAC ID: 4789055922 Enrollment ID: I20230125002476 |
| Provider Name | Drupal Trivedi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164137931 PECOS PAC ID: 4284005687 Enrollment ID: I20230131000884 |
| Provider Name | Alesha Esker |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821309048 PECOS PAC ID: 8729450143 Enrollment ID: I20230214000240 |
| Provider Name | Douglas Rice |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1508188459 PECOS PAC ID: 4688046873 Enrollment ID: I20230216001987 |
| Provider Name | Kiley Neichter |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053853390 PECOS PAC ID: 7618346321 Enrollment ID: I20230216002124 |
| Provider Name | Wendy Marie Wilton |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1780978791 PECOS PAC ID: 1456724178 Enrollment ID: I20230228002367 |
| Provider Name | Emily Elise Goerlich |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1316659246 PECOS PAC ID: 5698148823 Enrollment ID: I20230308002239 |
| Provider Name | Kristi Jantz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932808755 PECOS PAC ID: 3577937564 Enrollment ID: I20230314001672 |
| Provider Name | Elizabeth Marie Rossi Pierobon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205162229 PECOS PAC ID: 0042684896 Enrollment ID: I20230320000454 |
| Provider Name | Kristen Wade Grady |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366792897 PECOS PAC ID: 9830563238 Enrollment ID: I20230327001981 |
| Provider Name | Torey Hentis |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790200061 PECOS PAC ID: 6608240072 Enrollment ID: I20230406001640 |
| Provider Name | Kristina Kelsey |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1972977064 PECOS PAC ID: 7719352103 Enrollment ID: I20230418000646 |
| Provider Name | Chad Warren Welch |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710571922 PECOS PAC ID: 1557726890 Enrollment ID: I20230420001740 |
| Provider Name | Jennifer M Gerry |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1407593932 PECOS PAC ID: 7416312640 Enrollment ID: I20230424000456 |
| Provider Name | Karly Mae Williard |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1497497499 PECOS PAC ID: 8123483393 Enrollment ID: I20230424001971 |
| Provider Name | Emily Mackenzie Timmermann |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659067494 PECOS PAC ID: 3577928571 Enrollment ID: I20230426001923 |
| Provider Name | Elphie Marie Feliza Busayong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376006072 PECOS PAC ID: 6608231360 Enrollment ID: I20230502001671 |
| Provider Name | Kari Beth Packer |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588351423 PECOS PAC ID: 6507221090 Enrollment ID: I20230505002212 |
| Provider Name | Jaynie Shafer |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1790333771 PECOS PAC ID: 7012373475 Enrollment ID: I20230510001671 |
| Provider Name | Lisa A Cone |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043637887 PECOS PAC ID: 9830506435 Enrollment ID: I20230515002728 |
| Provider Name | Isabel Hotop |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1700403300 PECOS PAC ID: 4789040841 Enrollment ID: I20230525001936 |
| Provider Name | Rose Ann Bates |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922314475 PECOS PAC ID: 6901263839 Enrollment ID: I20230607002339 |
| Provider Name | Monika Bozickovic |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1043902695 PECOS PAC ID: 0042678609 Enrollment ID: I20230614002327 |
| Provider Name | Mary T Edwards |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104597780 PECOS PAC ID: 7719345255 Enrollment ID: I20230615001770 |
| Provider Name | Regan Brisker |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1811681943 PECOS PAC ID: 3678931862 Enrollment ID: I20230621000044 |
| Provider Name | Natalie Messina |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1205330487 PECOS PAC ID: 4082072251 Enrollment ID: I20230629003172 |
| Provider Name | Jami Weinstein |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1043998438 PECOS PAC ID: 8426419326 Enrollment ID: I20230725001986 |
| Provider Name | Nidhi P Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063190882 PECOS PAC ID: 1355702226 Enrollment ID: I20230726000279 |
| Provider Name | Maggie Elizabeth Jansen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811443989 PECOS PAC ID: 6507227782 Enrollment ID: I20230803003978 |
| Provider Name | Meghan Smith |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1871100818 PECOS PAC ID: 6901262021 Enrollment ID: I20230808003609 |
| Provider Name | Gerard Lablue |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336820265 PECOS PAC ID: 7315309226 Enrollment ID: I20230809002160 |
| Provider Name | Lauren Anthony |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1265113716 PECOS PAC ID: 6507228467 Enrollment ID: I20230809004165 |
| Provider Name | Shelby Decann |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790467694 PECOS PAC ID: 1254793813 Enrollment ID: I20230816000842 |
| Provider Name | Lydia Hill |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1053969055 PECOS PAC ID: 6901294123 Enrollment ID: I20230817001100 |
| Provider Name | Mary O'brien |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750680401 PECOS PAC ID: 7719349075 Enrollment ID: I20230818000395 |
| Provider Name | Mychael Beth Colson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1134445661 PECOS PAC ID: 2769844992 Enrollment ID: I20230818002678 |
| Provider Name | Miko Emmanuel Peralta Palad |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821728817 PECOS PAC ID: 2466815519 Enrollment ID: I20230823000887 |
| Provider Name | Kendall Nicole Presley |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1164173894 PECOS PAC ID: 4587027545 Enrollment ID: I20230824001405 |
| Provider Name | Chelsea Jo Albert |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1609385327 PECOS PAC ID: 3870956766 Enrollment ID: I20230824003120 |
| Provider Name | Sarah Elizabeth Thompson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1194406868 PECOS PAC ID: 8921461419 Enrollment ID: I20230831000773 |
| Provider Name | Nicole Woodard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326318296 PECOS PAC ID: 3476717885 Enrollment ID: I20230831002911 |
| Provider Name | Ma. Angela Calanda Maliwat |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346024338 PECOS PAC ID: 7214391705 Enrollment ID: I20230918000701 |
| Provider Name | Jennifer Bell |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1598411845 PECOS PAC ID: 0143674457 Enrollment ID: I20230920002166 |
| Provider Name | Maria Teresa Nakila |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366186116 PECOS PAC ID: 3971980608 Enrollment ID: I20230921001778 |
| Provider Name | Samantha Ann Lechner |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366228678 PECOS PAC ID: 7416301619 Enrollment ID: I20230921002045 |
| Provider Name | Thomas G Rogers |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1952910598 PECOS PAC ID: 7012361181 Enrollment ID: I20230922001316 |
| Provider Name | Kendra Lynn Zumbahlen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1821305004 PECOS PAC ID: 3375997950 Enrollment ID: I20230930000625 |
| Provider Name | Carissa Wooddell |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1699230813 PECOS PAC ID: 8426402926 Enrollment ID: I20231003001269 |
| Provider Name | Domcielie Orteza |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730967894 PECOS PAC ID: 9739534710 Enrollment ID: I20231011001203 |
| Provider Name | Andrea Koester |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265014237 PECOS PAC ID: 1456707843 Enrollment ID: I20231020001159 |
| Provider Name | Jenna Marie Zanger |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1316725450 PECOS PAC ID: 1456707181 Enrollment ID: I20231031003538 |
| Provider Name | Morgan Leigh Hoene |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912579590 PECOS PAC ID: 2062869886 Enrollment ID: I20231115002125 |
| Provider Name | Alyssa Lynn Mcgray |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1932971371 PECOS PAC ID: 8224486972 Enrollment ID: I20231120000329 |
| Provider Name | Laura Marie Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568789683 PECOS PAC ID: 8426406018 Enrollment ID: I20231120002514 |
| Provider Name | Ian Panelo Aguinaldo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396353413 PECOS PAC ID: 8820446693 Enrollment ID: I20231205001074 |
| Provider Name | Kayley Radford |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629843354 PECOS PAC ID: 8325497993 Enrollment ID: I20231207001774 |
| Provider Name | Windy Lee Stone |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1922400159 PECOS PAC ID: 8426407032 Enrollment ID: I20231207003500 |
| Provider Name | Kara Marie Govreau |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1285400853 PECOS PAC ID: 8224487335 Enrollment ID: I20231214003232 |
| Provider Name | Renee Delene Violett |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821242066 PECOS PAC ID: 9032569546 Enrollment ID: I20231226001029 |
| Provider Name | Claudette Williams |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1285801845 PECOS PAC ID: 5597052720 Enrollment ID: I20240117003927 |
| Provider Name | Ashley Elizabeth Brim |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1588179261 PECOS PAC ID: 2961854575 Enrollment ID: I20240119000501 |
| Provider Name | Amabelle Estoque |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174131015 PECOS PAC ID: 1355784604 Enrollment ID: I20240205000046 |
| Provider Name | Morgan Muehler |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1376329664 PECOS PAC ID: 4385087006 Enrollment ID: I20240209002502 |
| Provider Name | Angelito Neri |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780281071 PECOS PAC ID: 5890130835 Enrollment ID: I20240229000230 |
| Provider Name | Dennilyne Ubayubay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114647617 PECOS PAC ID: 6406291228 Enrollment ID: I20240301002773 |
| Provider Name | Colleen Maloney |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417319542 PECOS PAC ID: 2264877059 Enrollment ID: I20240304000322 |
| Provider Name | Jennifer Maple |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124884648 PECOS PAC ID: 1850737222 Enrollment ID: I20240307001649 |
| Provider Name | Angelo Belardo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194501619 PECOS PAC ID: 3072959204 Enrollment ID: I20240311002851 |
| Provider Name | Michael Beavin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1316393713 PECOS PAC ID: 2264879352 Enrollment ID: I20240325003562 |
| Provider Name | Carrie Ann Drennan |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1568875391 PECOS PAC ID: 1254778111 Enrollment ID: I20240327001947 |
| Provider Name | Christian Bergmeier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114391158 PECOS PAC ID: 8426496191 Enrollment ID: I20240401003234 |
| Provider Name | Diana Hunt |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1841050358 PECOS PAC ID: 7719325174 Enrollment ID: I20240403003837 |
| Provider Name | Alexa Leigh Redmond |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073373320 PECOS PAC ID: 7810335106 Enrollment ID: I20240405000567 |
| Provider Name | Tanja Noren |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1871105734 PECOS PAC ID: 3173961497 Enrollment ID: I20240405001873 |
| Provider Name | Brandi Robertson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770194789 PECOS PAC ID: 9638517790 Enrollment ID: I20240409001569 |
| Provider Name | Vijiey Hervera Dinlasan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730686957 PECOS PAC ID: 1052751385 Enrollment ID: I20240502003137 |
| Provider Name | Meredith Anne Adams |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1659127587 PECOS PAC ID: 3678914223 Enrollment ID: I20240514000712 |
| Provider Name | Lisa Ann Thomas-hopkins |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1457509507 PECOS PAC ID: 9537601695 Enrollment ID: I20240605001410 |
| Provider Name | Paulina Victoria Milanowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396595716 PECOS PAC ID: 6103369939 Enrollment ID: I20240620002728 |
| Provider Name | Clay Dargert |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649862947 PECOS PAC ID: 1658815667 Enrollment ID: I20240702000522 |
| Provider Name | Meredith Rachelle Gardner |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1245743095 PECOS PAC ID: 2466996285 Enrollment ID: I20240703000633 |
| Provider Name | Selina Alexandra Najim |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1104665728 PECOS PAC ID: 1951846542 Enrollment ID: I20240708002018 |
| Provider Name | Michael Hizel |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588337034 PECOS PAC ID: 2365987609 Enrollment ID: I20240711001452 |
| Provider Name | Ashley N Benson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437894292 PECOS PAC ID: 8820533078 Enrollment ID: I20240711002209 |
| Provider Name | Dalton C Dultmeier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245088640 PECOS PAC ID: 2769927532 Enrollment ID: I20240716004902 |
| Provider Name | Kelli Jo Beach |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548477979 PECOS PAC ID: 7214472927 Enrollment ID: I20240717001697 |
| Provider Name | Olivia Lachowicz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740025428 PECOS PAC ID: 7416493119 Enrollment ID: I20240718000255 |
| Provider Name | Mary Lowery |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1962241687 PECOS PAC ID: 7618413097 Enrollment ID: I20240722002096 |
| Provider Name | Ginger Leigh Funk |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174509343 PECOS PAC ID: 7719423581 Enrollment ID: I20240729003072 |
| Provider Name | Jill A Blockhus |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013755040 PECOS PAC ID: 0547707291 Enrollment ID: I20240731001401 |
| Provider Name | Jessica Ann Englehart |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588492078 PECOS PAC ID: 1052850948 Enrollment ID: I20240822004035 |
| Provider Name | Hillary Lee Partida |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1104661065 PECOS PAC ID: 0749729473 Enrollment ID: I20240827000506 |
| Provider Name | Adam Collier |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982374088 PECOS PAC ID: 1658810866 Enrollment ID: I20240830002300 |
| Provider Name | Alyssa Paige Roman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1003649443 PECOS PAC ID: 3779023841 Enrollment ID: I20240904003883 |
| Provider Name | Caitlin M. Marks |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1902644651 PECOS PAC ID: 7416497391 Enrollment ID: I20240905003955 |
| Provider Name | Jennifer Amraen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558194365 PECOS PAC ID: 9335689983 Enrollment ID: I20240910000961 |
| Provider Name | Meghan Nichole Dyster |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114791845 PECOS PAC ID: 3173971637 Enrollment ID: I20240927001887 |
| Provider Name | Amanda Mertes |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1295214278 PECOS PAC ID: 1850527714 Enrollment ID: I20241002001150 |
| Provider Name | Beth Ann Blechle |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629436456 PECOS PAC ID: 0143751941 Enrollment ID: I20241003003642 |
| Provider Name | Julie Murchison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609094812 PECOS PAC ID: 8325579063 Enrollment ID: I20241004000984 |
| Provider Name | Sarah J Deneal |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1568082337 PECOS PAC ID: 8527590116 Enrollment ID: I20241021003903 |
| Provider Name | Susan Elizabeth Vandenbergh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942022561 PECOS PAC ID: 7113451097 Enrollment ID: I20241114002644 |
| Provider Name | Tanya N Tepen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013377266 PECOS PAC ID: 6305371568 Enrollment ID: I20241125001822 |
| Provider Name | Catherine Marie Meyer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982429379 PECOS PAC ID: 1153857511 Enrollment ID: I20241209001785 |
| Provider Name | Jared Karas |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1467199299 PECOS PAC ID: 0446633747 Enrollment ID: I20241211000679 |
Premier Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 233 Forest Ct, Edwardsville, IL 62025 Phone: 618-510-9123 Fax: 618-822-4095 | |
William G Bonzelet Md, Sc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 157 Ctr, Edwardsville, IL 62025 Phone: 618-659-2371 Fax: 618-659-2375 | |
Apg Network Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1181 S State Route 157, Edwardsville, IL 62025 Phone: 888-363-8333 | |
American Healthcare Systems Illinois Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1261 University Dr, Edwardsville, IL 62025 Phone: 818-666-0602 | |