RACHEL STACEY (NPI# 1073682803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073682803 |
Entity Type | Individual |
Full Name | RACHEL STACEY |
Credential | PT |
Practice Address |
3308 Logan Dr Herrin IL 62948-3759 |
Mailing Address |
611 S 18th St Herrin IL 62948-2347 |
Practice Telephone | 6189934024 |
Practice Fax Number | 6189931570 |
Mailing Telephone | 6189424567 |
Enumeration Date | 2006-11-07 |
Last Update Date | 2009-03-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
070014266 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104146810 | Rachel Erin Stacey | Obstetrics & Gynecology | 280 Exempla Cir, Lafayette, CO 80026-3370 | 2010-06-03 |
Street Address |
3308 LOGAN DR |
City | HERRIN |
State | IL |
Zip Code | 62948-3759 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265474555 | Hr Physical Therapy, Sports & Industrial Rehabilitation PC | Physical Therapist | 3308 Logan Dr, Herrin, IL 62948-3759 | 2006-06-12 |
1851760201 | Keith Medalle Layson | Physical Therapist | 3308 Logan Dr, Herrin, IL 62948-3759 | 2015-09-16 |
1164591020 | Laura L Roach | Physical Therapist | 3308 Logan Dr, Herrin, IL 62948-3759 | 2006-11-07 |
1649349432 | Amy S Westrich | Physical Therapist | 3308 Logan Dr, Herrin, IL 62948-3759 | 2006-11-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215307590 | Carmelito Miralles Caronongan | Pediatrics | 120 S. 11th St., Herrin, IL 62948 | 2015-09-30 |
1073995684 | Motaz R Wraikat | Preventive Medicine | 315 S 13th St Ste 3, Herrin, IL 62948 | 2015-06-19 |
1639427933 | Salim Hosein | Surgery | 317 S 14th St Ste 1, Herrin, IL 62948 | 2012-08-17 |
1962780288 | Pooja Sareen | Internal Medicine | 3024 S Park Avenue, Herrin, IL 62948 | 2011-08-03 |
1235459918 | Timoteo Castro Md & Josefina D. Castro Md Ltd | Family Medicine | 321 South 13st St., Herrin, IL 62948 | 2010-06-04 |
1457501926 | Don Cassidy Arnold II | Urology | 220 S Park Ave Fl 2, Herrin, IL 62948 | 2008-09-22 |
1306094560 | Karl Keith Mitchener | Speech-Language Pathologist | 1901 N 13th Street, Herrin, IL 62948 | 2008-08-29 |
1457509705 | Kathryn Marie Bordenet-jines | Occupational Therapy Assistant | 1901 N. 13th, Herrin, IL 62948 | 2008-08-28 |
1417105776 | Cheryl Lynn Matic | Occupational Therapy Assistant | 1901 N. 13th St., Herrin, IL 62948 | 2008-08-28 |
1174771422 | Mary Frances Graham | Physical Therapy Assistant | 1901 N. 13th Street, Herrin, IL 62948 | 2008-08-28 |
Find all providers in zip 62948 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265474555 | Hr Physical Therapy, Sports & Industrial Rehabilitation PC | Physical Therapist | 3308 Logan Dr, Herrin, IL 62948-3759 | 2006-06-12 |
1437301009 | Dane Merrill Elliott | Physical Therapist | 510 Lincoln Dr, Herrin, IL 62948-6334 | 2008-10-15 |
1164591020 | Laura L Roach | Physical Therapist | 3308 Logan Dr, Herrin, IL 62948-3759 | 2006-11-07 |
1649349432 | Amy S Westrich | Physical Therapist | 3308 Logan Dr, Herrin, IL 62948-3759 | 2006-11-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659986891 | Murtaza Aziz | Physical Therapist | 1431 N Western Ave Ste 140, Chicago, IL 60622-1770 | 2020-09-14 |
1902416720 | Epicore Physical Therapy | Physical Therapist | 1660 N La Salle Dr Apt 2708, Chicago, IL 60614-6021 | 2020-08-06 |
1356968374 | Genevieve Joy Owen | Physical Therapist | 555 Busse Hwy Unit C1, Park Ridge, IL 60068-3189 | 2020-06-26 |
1518597772 | Stability Physical Therapy and Wellness, LLC | Physical Therapist | 5031 W Balmoral Ave, Chicago, IL 60630-1507 | 2020-01-16 |
1154972719 | Antonio Marquez | Physical Therapist | 7425 Janes Ave Ste 200, Woodridge, IL 60517-2358 | 2019-09-25 |
1376198978 | Natalie N Ruebke | Physical Therapist | 251 Marketplace Dr # 2, Freeburg, IL 62243-4082 | 2019-08-09 |
1902360241 | Stephanie Lynne Burkhart | Physical Therapist | 12251 W 159th St, Homer Glen, IL 60491-7847 | 2019-01-30 |
1003388943 | Scoliosis Therapy Care and More LLC | Physical Therapist | 4n369 Booth Tarkington St, St Charles, IL 60175-7731 | 2018-12-17 |
1912478082 | Brandon Donnelly | Physical Therapist | 2200 Fort Jesse Rd Ste 230, Normal, IL 61761-6291 | 2018-12-16 |
1497251086 | John William Herbert | Physical Therapist | 1316 N Route 59, Naperville, IL 60563-4286 | 2018-04-03 |
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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.