LISETTE BRILL (NPI# 1063604759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063604759 |
| Entity Type | Individual |
| Full Name | LISETTE BRILL |
| Credential | PT |
| Practice Address |
16170 Kingsport Rd Orland Park IL 60467-5602 |
| Mailing Address |
16170 S. Kingsport Rd Orland Park IL 60467-5602 |
| Practice Telephone | 7083261550 |
| Mailing Telephone | 7083261550 |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2015-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
070013818 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
16170 KINGSPORT RD |
| City | ORLAND PARK |
| State | IL |
| Zip Code | 60467-5602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114927423 | John Parise | Pharmacist | 16170 Kingsport Rd, Orland Park, IL 60467-5602 | 2005-07-28 |
| 1831552983 | Kayla Briggs | Occupational Therapy Assistant | 16170 Kingsport Rd, Orland Park, IL 60467-5602 | 2016-04-05 |
| 1790169605 | Annalyn Verano Padua | Physical Therapy Assistant | 16170 Kingsport Rd, Orland Park, IL 60467-5602 | 2015-07-10 |
| 1902289796 | Audrey Akai | Occupational Therapist | 16170 Kingsport Rd, Orland Park, IL 60467-5602 | 2015-06-30 |
| 1336520857 | Migdalia Lopez | Occupational Therapy Assistant | 16170 Kingsport Rd, Orland Park, IL 60467-5602 | 2015-06-10 |
| 1295115103 | Timothy Johnson II | Occupational Therapy Assistant | 16170 Kingsport Rd, Orland Park, IL 60467-5602 | 2015-06-05 |
| 1336529288 | Mary Christine Parker-hoepf | Occupational Therapist | 16170 Kingsport Rd, Quality Therapy & Consultation, Inc., Orland Park, IL 60467-5602 | 2015-06-05 |
| 1154701506 | Lindsey Davis | Occupational Therapist | 16170 Kingsport Rd, Orland Park, IL 60467-5602 | 2015-06-01 |
| 1952780488 | Paul Valiente Cumigad | Physical Therapist | 16170 Kingsport Rd, Orland Park, IL 60467-5602 | 2015-05-29 |
| 1245619204 | Jessica Fulgencio | Physical Therapy Assistant | 16170 Kingsport Rd, Orland Park, IL 60467-5602 | 2015-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700435666 | Abigail Flaherty | Specialist/Technologist | 17430 Brookwood Ct, Orland Park, IL 60467 | 2019-09-04 |
| 1114483567 | Allison Winkelman I | Behavioral Analyst | 8505 West 183rd Street, Ste D, Tinley Park, ID 60467 | 2019-02-11 |
| 1043794332 | Stella Lewally | Nurse Practitioner | 11528 183rd St, Orland Park, IL 60467 | 2018-09-21 |
| 1992202535 | Du Page Medical Group Ltd | Durable Medical Equipment & Medical Supplies | 16660 South 107th Avenue, Orland Park, IL 60467 | 2018-04-10 |
| 1467955781 | Dr Matthew E Schmidt & Associates Ophthalmologists S.c. | Eyewear Supplier (Equipment, not the service) | 10732 W 165th St, Orland Park, IL 60467 | 2018-03-13 |
| 1053835694 | Mbr In-home Care, LLC | In Home Supportive Care | 16616 S 107th Court, Orland Park, IL 60467 | 2017-07-26 |
| 1568984029 | Meaghan Hansen Hansen | Nurse Practitioner | Laser Spine Center of Chicago, 16604 S. 107th Ct., Orland Park, IL 60467 | 2017-07-16 |
| 1790212587 | Maria Degrazia Cohen | Developmental Therapist | 9800 Liberty Circle, 3w, Orland Park, IL 60467 | 2017-05-11 |
| 1902354319 | Debra Kramer | Nurse Practitioner | 14315 South 108th Ave., Suite 215, Orland Park, IL 60467 | 2016-09-14 |
| 1689071524 | Morgan Johnson | Specialist/Technologist | 11141 Saratoga Drive, Orland Park, IL 60467 | 2014-11-20 |
| Find all providers in zip 60467 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598025520 | Mathew Jacob | Physical Therapist | 16228 Ryehill Cir, Orland Park, IL 60467-5392 | 2012-05-24 |
| 1093102352 | Jay Anthony Beco | Physical Therapist | 16170 Kingsport Rd, Orland Park, IL 60467-5602 | 2015-04-23 |
| 1639385172 | Washington and Jane Smith Community- Orland Park | Physical Therapist | 10501 Emilie Ln, Orland Park, IL 60467-8805 | 2007-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992310247 | Direct Mobile Pt and Wellness, LLC | Physical Therapist | 0n553 Dorchester Ave, Wheaton, IL 60187-1709 | 2020-09-14 |
| 1285259507 | Sheila Valencia Punzalan | Physical Therapist | 7825 Crawford Ave, Skokie, IL 60076-3609 | 2020-06-11 |
| 1912471913 | Heidi Moyer | Physical Therapist | 665 W North Ave Ste 500, Lombard, IL 60148-1135 | 2019-01-14 |
| 1801362314 | Eric John Grahn | Physical Therapist | 655 White Oak Way, Yorkville, IL 60560-9581 | 2018-10-23 |
| 1588139141 | Marc Brown | Physical Therapist | 930 Monroe St, Galesburg, IL 61401-2538 | 2018-10-10 |
| 1215388244 | Shefali Chandnani | Physical Therapist | 332 Veneto, Bloomingdale, IL 60108-1036 | 2016-06-30 |
| 1154777373 | Tejaswini Savarkar | Physical Therapist | 1412 Frenchmans Bend Dr, Naperville, IL 60564-9714 | 2016-05-06 |
| 1760879969 | Joseph Albert De Mesa Montemayor | Physical Therapist | 3639 N Ottawa Ave, Unit 2, Chicago, IL 60634-3108 | 2015-04-25 |
| 1740686229 | Cynthia Valaitis | Physical Therapist | 17 Ottawa Ct, Oswego, IL 60543-9165 | 2014-11-11 |
| 1538563671 | Jigeeh Mantujac | Physical Therapist | 4559 Imperial Dr, 3e, Richton Park, IL 60471-2437 | 2014-10-17 |
| Find all providers with the same taxonomy | ||||
| City | ORLAND PARK |
| Zip Code | 60467 |
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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.