SEAN P MACKENZIE (NPI# 1063527349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063527349 |
| Entity Type | Individual |
| Full Name | SEAN P MACKENZIE |
| Credential | M.D. |
| Practice Address |
324 Roxbury Rd Rockford IL 61107-5090 |
| Mailing Address |
Box 78534 Milwaukee WI 53278 |
| Practice Telephone | 8153989491 |
| Practice Fax Number | 8153817498 |
| Mailing Telephone | 8153989491 |
| Mailing Fax Number | 8153817498 |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2015-03-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 036-111320 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036-111320 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699053926 | Sean Rome Mackenzie | Chiropractor | 4255 E Pecos Rd, # 3016, Gilbert, AZ 85295-7832 | 2011-08-03 |
| Street Address |
324 ROXBURY RD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61107-5090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225036973 | Alicia A Heuser | Physician Assistant | 324 Roxbury Rd, Rockford, IL 61107-5090 | 2005-07-07 |
| 1578180105 | Anna R Gibbons | Physical Therapist | 324 Roxbury Rd, Rockford, IL 61107-5090 | 2020-06-30 |
| 1730705732 | Krista L Carlson | Physical Therapist | 324 Roxbury Rd, Rockford, IL 61107-5090 | 2020-06-25 |
| 1821613274 | Erin B Thomas | Physical Therapist | 324 Roxbury Rd, Rockford, IL 61107-5090 | 2020-06-11 |
| 1053948521 | Micah Lynn Ann Clutter | Specialist/Technologist | 324 Roxbury Rd, Rockford, IL 61107-5090 | 2020-03-25 |
| 1881232817 | Eleni Polites | Occupational Therapist | 324 Roxbury Rd, Rockford, IL 61107-5090 | 2019-12-20 |
| 1316507890 | Ashley Ann Smith | Podiatrist | 324 Roxbury Rd, Rockford, IL 61107-5090 | 2019-06-18 |
| 1093371197 | Christine M Piasecki | Physical Therapist | 324 Roxbury Rd, Rockford, IL 61107-5090 | 2019-05-14 |
| 1831755024 | Suzanne Workman | Occupational Therapist | 324 Roxbury Rd, Rockford, IL 61107-5090 | 2019-05-14 |
| 1861058950 | Paige A Lyford | Physical Therapist | 324 Roxbury Rd, Rockford, IL 61107-5090 | 2019-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356952139 | Jessica Marie Tamayo Fernandez | Pharmacist | 1145 Alpine Rd, Rockford, IL 61107 | 2020-08-13 |
| 1467092379 | Unknown Safa Fatima | Student in an Organized Health Care Education/Training Program | Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 | 2020-01-08 |
| 1194367912 | Matt J Kriebs | Nurse Practitioner | 1235 N Mulford Rd Suite 103, Rockford, IL 61107 | 2019-10-14 |
| 1265962336 | Mary Golembeck | Nurse Practitioner | 7290 Argus Dr, Rockford, IL 61107 | 2017-06-12 |
| 1831644749 | Tessa Lee | Occupational Therapist | 3422 Lauderdale Ln, Rockford, IL 61107 | 2016-08-20 |
| 1942626965 | Elevated Health Essentials, LLC | Chiropractor | 124 N Water St Ste 204e, Rockford, IL 61107 | 2014-03-14 |
| 1093139909 | Swedishamerican Hospital | Surgery | 1639 N Alpine Rd Ste 400, Rockford, IL 61107 | 2014-02-12 |
| 1346676582 | Christopher Anthony Ziganto | Pharmacist | 494 Bienterra Trail #2, Rockford, IL 61107 | 2013-09-19 |
| 1023358272 | Lavanya Durairajan | Physical Therapist | 7358 Shiligton Dr, Rockford, IL 61107 | 2013-02-26 |
| 1851523146 | Great Smiles of Rockford | Durable Medical Equipment & Medical Supplies | 780 N. Mulfrord Road, Rockford, IL 61107 | 2009-08-20 |
| Find all providers in zip 61107 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992297428 | Integrative Medical of Rockford | Physical Medicine & Rehabilitation | 863 S Perryville Rd Ste 100, Rockford, IL 61108-4328 | 2018-05-31 |
| 1073610051 | Kumud Nigam | Physical Medicine & Rehabilitation | 6957 Olde Creek Rd, Suite #3400, Rockford, IL 61114-7416 | 2006-09-20 |
| 1518074681 | Linda Kun Li | Physical Medicine & Rehabilitation | 4793 Manhattan Dr, Rockford, IL 61108-2264 | 2006-08-24 |
| 1952359887 | Peter K Park | Physical Medicine & Rehabilitation | 6447 E Riverside Blvd, Suite 102, Rockford, IL 61114-4421 | 2006-05-04 |
| 1134126451 | Zeeshan Ahmad | Physical Medicine & Rehabilitation | 5875 E Riverside Blvd, Rockford, IL 61114-4937 | 2005-07-01 |
| 1548754591 | Jessica Lee Driscoll | Physical Medicine & Rehabilitation | 209 9th St, Rockford, IL 61104-2235 | 2018-06-21 |
| 1174016885 | Carly Renee Ditto | Physical Medicine & Rehabilitation | 1401 E State St, Rockford, IL 61104-2315 | 2018-06-08 |
| 1346733953 | Amy L Carter | Physical Medicine & Rehabilitation | 209 9th St, Rockford, IL 61104-2235 | 2018-06-08 |
| 1649760794 | Christina M Fomina | Physical Medicine & Rehabilitation | 5510 E State St, Rockford, IL 61108-2381 | 2018-05-15 |
| 1730683202 | Kevin W Shaver | Physical Medicine & Rehabilitation | 515 E Division St, Rockford, MI 49341-1377 | 2018-03-20 |
| Find all providers in ROCKFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.