DR. KEITH BRIAN POTETTI (NPI# 1154490456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154490456 |
| Entity Type | Individual |
| Full Name | DR. KEITH BRIAN POTETTI |
| Credential | DC |
| Practice Address |
1641 N. Alpine Rd Rockford IL 61107 |
| Mailing Address |
2216 11th Ave Rockford IL 61104 |
| Practice Telephone | 8153983334 |
| Practice Fax Number | 8153983469 |
| Mailing Telephone | 8153983334 |
| Mailing Fax Number | 8153983469 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
038-00587 | IL | Chiropractic Providers |
| X | 111NN1001X |
Chiropractor Specialization: Nutrition |
IL | Chiropractic Providers | |
| X | 111NS0005X |
Chiropractor Specialization: Sports Physician |
IL | Chiropractic Providers |
| Street Address |
1641 N. ALPINE RD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61107 |
| 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 | 111NR0400X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Rehabilitation |
| Rehabilitation is the discipline focused on restoring a patient's functional abilities to pre-injury or pre-disease status. Functional abilities are defined as those activities in one's daily life, work, or sports and recreational activities that an individual participates in. Relevant impairments (e.g. strength, endurance, flexibility, motor control, etc.) are often intermediate goals of rehabilitation, but the final goal of successful care is return to participation in activities in which the patient was successful before the onset of the injury or disease. Essential to a rehabilitation approach is a focus on patient-centered outcomes such as independence and self-management or self-care skills. |
| Notes: Source: The American Chiropractic Association (ACA) and the ACA Council on Physiological Therapeutics [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518028828 | Integrated Health, Sc | Chiropractor | 6443 E. Riverside Boulevard, Suite101, Rockford, IL 61114 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548869308 | Young Rehab, LLC | Chiropractor | 68 Ambrogio Dr Ste 102, Gurnee, IL 60031-3339 | 2020-10-22 |
| 1588262927 | Eric Cundiff Dc LLC | Chiropractor | 114 E Pine Ave, Bensenville, IL 60106-2560 | 2020-10-16 |
| 1609409200 | Michael Daniel Skryd | Chiropractor | 40w378 Francis Bret Harte St, Saint Charles, IL 60175-7528 | 2020-02-21 |
| 1003465824 | Milton Theodore Morter IIi | Chiropractor | 2250 Reed Station Pkwy Ste 204, Carbondale, IL 62901-8104 | 2019-09-04 |
| 1174096796 | Connor Davis | Chiropractor | 2711 E New York St Ste 101, Aurora, IL 60502-9445 | 2019-01-07 |
| 1033689625 | Rajipo, Inc. | Chiropractor | 2706 Bainbridge Blvd, West Chicago, IL 60185 | 2018-11-27 |
| 1508356072 | Halo Medical Professionals Sc. | Chiropractor | 10650 S Western Ave, Chicago, IL 60643 | 2018-05-10 |
| 1831692912 | Wheaton Healthcare, LLC | Chiropractor | 311 S Naperville Rd Ste C, Wheaton, IL 60187-5473 | 2018-03-14 |
| 1962929018 | Affinity Integrated Healthcare | Chiropractor | 736 Florsheim Dr, St 12, Libertyville, IL 60048 | 2017-08-29 |
| 1053852764 | Studio Health | Chiropractor | 892 S Frontenac St, Aurora, IL 60504-3165 | 2017-03-14 |
| Find all providers with the same taxonomy | ||||
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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.