THE FIT MED EXPERIENCE (NPI# 1194029132) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194029132 |
| Entity Type | Organization |
| Organization Name | THE FIT MED EXPERIENCE |
| Other Organization Name | FIT MED |
| Practice Address |
6392 Linden Rd Rockford IL 61109-2816 |
| Mailing Address |
5411 E State St Rockford IL 61108-2907 |
| Practice Telephone | 8155408368 |
| Mailing Telephone | 8155408368 |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2011-01-05 |
| Authorized Official Name | MR. CHRISTOPHER SCOTT MILLS (LICENSED MEDICAL MASSAGE THERAPIST) |
| Authorized Official Telephone | 8155408368 |
| Authorized Official Credential | BS, CSCS, LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 227003757 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| FIT MED | Doing Business As Name - Organization |
| Street Address |
6392 LINDEN RD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61109-2816 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770630766 | Kp Counseling Ltd | Social Worker | 6392 Linden Rd, Rockford, IL 61109-2816 | 2007-01-04 |
| 1790393882 | Jonothan W Hoskins | Social Worker | 6392 Linden Rd, Rockford, IL 61109-2816 | 2020-07-15 |
| 1154803070 | Sonya Nygren | Counselor | 6392 Linden Rd, Rockford, IL 61109-2816 | 2018-09-06 |
| 1366930406 | Amy Bruyn | Counselor | 6392 Linden Rd, Rockford, IL 61109-2816 | 2018-04-24 |
| 1386183267 | Samuel L Denton | Social Worker | 6392 Linden Rd, Rockford, IL 61109-2816 | 2017-02-13 |
| 1710346689 | Renae Johnson | Counselor | 6392 Linden Rd, Rockford, IL 61109-2816 | 2016-02-19 |
| 1548631328 | Delinda Grindle | Social Worker | 6392 Linden Rd, Rockford, IL 61109-2816 | 2015-10-19 |
| 1487927885 | Jennifer Fricke | Social Worker | 6392 Linden Rd, Rockford, IL 61109-2816 | 2012-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487164398 | Linda A Morel | Speech-Language Pathologist | 6129 Valley Knoll Drive, Rockford, IL 61109 | 2017-10-05 |
| 1841720315 | Activate Healthcare - Local 23 Clinic | Clinic/Center | 3413 Colony Bay, Rockford, IL 61109 | 2017-06-15 |
| 1255430062 | Suzanne E. Wang | Nurse Practitioner | 4940 East State Street, Rockford Veterans Administration Out Patient Clinic, Rockford, IL 61109 | 2006-09-21 |
| 1073597498 | Peter Joseph Gunther | Optometrist | 2995 Eastrock Dr, Rockford, IL 61109 | 2005-11-30 |
| 1104482769 | Catherine L Hill | Nurse's Aide | 2831 Bildahl St, Rockford, IL 61109-1136 | 2019-05-18 |
| 1962671701 | Rosecrance, Inc. | Substance Abuse Rehabilitation Facility | 3522 Green Dale Dr, Rockford, IL 61109-1575 | 2008-02-26 |
| 1326174665 | Lloyd Hearing Aid Corp | Hearing Instrument Specialist | 4435 Manchester Dr, Rockford, IL 61109-1655 | 2007-02-23 |
| 1710965439 | Gary Michael Briden | Family Medicine | 4423 Manchester Dr, Rockford, IL 61109-1655 | 2006-01-03 |
| 1386092625 | Andrew Palmquist | Hearing Instrument Specialist | 4435 Manchester Dr, Rockford, IL 61109-1655 | 2016-05-26 |
| 1851324289 | Reginald Dinan Quart | Family Medicine | 4423 Manchester Dr, Rockford, IL 61109-1655 | 2006-07-09 |
| Find all providers in zip 61109 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902411325 | Todd M Genovese | Massage Therapist | 3209 Twin Ridge Ln, Rockford, IL 61109-3866 | 2020-09-11 |
| 1558980797 | Christy Ann Cellitti | Massage Therapist | 2222 E State St Ste A98, Rockford, IL 61104-1572 | 2020-04-08 |
| 1922452572 | Sarah Deur | Massage Therapist | 7500 Agawa Trl Ne, Rockford, MI 49341-8524 | 2016-04-20 |
| 1366801664 | Lorri Ann Kelbel | Massage Therapist | 11591 Northland Drive Ne, Rockford, MI 49341 | 2016-02-15 |
| 1225413073 | Hannah Grissom | Massage Therapist | 11591 Northland Dr Ne, Rockford, MI 49341-8426 | 2015-07-22 |
| 1144618984 | Maria Natalia Corales | Massage Therapist | 519 Parkside Dr, Rockford, IL 61108-2024 | 2015-01-01 |
| 1427318831 | Paulette Jeronimus | Massage Therapist | 4616 Newcastle Rd, Rockford, IL 61108-7714 | 2012-05-18 |
| 1851673669 | Nadene Johnson | Massage Therapist | 1917 E Gate Pkwy, Rockford, IL 61108-5915 | 2011-09-16 |
| 1578852216 | Robin J Debenedetto | Massage Therapist | 4967 Cardamon Ln, Rockford, IL 61114-5323 | 2011-04-04 |
| 1366744963 | Kelli Boehning | Massage Therapist | 429 Phelps Ave, Bldg. 7 Ste. 711, Rockford, IL 61108-2493 | 2010-12-02 |
| 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.