MR. BLAIR THOMAS GORSUCH


Address: 6501 N Sheridan Rd, Peoria, IL 61614-2932
Phone: 3096214106

MR. BLAIR THOMAS GORSUCH (NPI# 1215367750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215367750
Entity Type Individual
Full Name MR. BLAIR THOMAS GORSUCH
Credential M.S.
Practice Address 6501 N Sheridan Rd
Peoria
IL 61614-2932
Practice Telephone 3096214106
Practice Fax Number 3096214194
Mailing Telephone 3096214106
Mailing Fax Number 3096214194
Enumeration Date 2013-11-20
Last Update Date 2013-11-20
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 224Y00000X Clinical Exercise Physiologist Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 6501 N SHERIDAN RD
City PEORIA
State IL
Zip Code 61614-2932

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851374557 Frank K Arnold Physical Therapist 6501 N Sheridan Rd, Peoria, IL 61614-2932 2005-11-28
1003377441 Alexis Sands Speech-Language Pathologist 6501 N Sheridan Rd, Peoria, IL 61614-2932 2019-03-28
1134687056 Brooke Kitts Physical Therapist 6501 N Sheridan Rd, Peoria, IL 61614-2932 2019-03-10
1467818393 Jennifer E Mcgarry Speech-Language Pathologist 6501 N Sheridan Rd, Peoria, IL 61614-2932 2016-01-07
1740645910 Brittan Ashley Rooney Physical Therapist 6501 N Sheridan Rd, Peoria, IL 61614-2932 2015-12-15
1295121549 Jenny Shimon Specialist 6501 N Sheridan Rd, Peoria, IL 61614-2932 2015-04-14
1487049995 Amy Ginzel Registered Nurse 6501 N Sheridan Rd, Peoria, IL 61614-2932 2015-04-01
1205224029 Mary Peifer Massage Therapist 6501 N Sheridan Rd, Peoria, IL 61614-2932 2014-12-31
1700284254 Jacqueline Mccalister Physical Therapist 6501 N Sheridan Rd, Peoria, IL 61614-2932 2014-12-16
1194123836 Jane A. Golowski Registered Nurse 6501 N Sheridan Rd, Peoria, IL 61614-2932 2014-12-11
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1548818511 Christine Svoboda Social Worker 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 2019-09-03
1639649007 Kathy Karouzos Counseling, LLC Clinic/Center 330 W. Ivy Ln., Peoria, IL 61614 2018-11-28
1205312790 Kathleen Marie Hendricks Nurse Practitioner 2809 W Willow Knolls Dr, Peoria, IL 61614 2018-07-17
1629563937 Mary Elizabeth Cunningham Counselor 6219 N. Eldorado Dr., Peoria, IL 61614 2018-06-28
1861937955 Angela Gilles Social Worker 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 2016-12-27
1467994897 Melissa Saxsma Specialist 5009 N Executive Dr, Peoria, IL 61614 2016-11-16
1902258874 Rashid Plastic Surgery, LLC Plastic Surgery 804 W Trailcreek Drive, Peoria, IL 61614 2016-07-05
1215313143 Melissa Lynn Phelan Nurse Practitioner 122 E Morningside Dr, Peoria, IL 61614 2015-08-03
1811380165 All Ways Caring Services, Inc. In Home Supportive Care 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 2015-03-11
1568875920 Schuler & Arkwell Orthodontic Partnership Dentist 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 2014-06-03
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Taxonomy Information

Taxonomy Code 224Y00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Clinical Exercise Physiologist

Taxonomy Definition

A Clinical Exercise Physiologist is a health care professional who is trained to work with patients with chronic disease where exercise training has been shown to be of therapeutic benefit, including but not limited to cardiovascular and pulmonary disease, and metabolic disorders.
Notes: Source: What is a Clinical Exercise Physiologist? Clinical Exercise Physiology Association (CEPA), CEPA Executive Board, 2008

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1437786704 Christopher Fuller Clinical Exercise Physiologist 1919 S Wolf Rd Apt 213, Hillside, IL 60162-2128 2020-03-25
1629551312 Tanner Shultz Clinical Exercise Physiologist 27w157 Walnut Dr, Winfield, IL 60190-2051 2018-09-10
1033521968 James Towns Clinical Exercise Physiologist 9247 S. Wentworth, Chicago, IL 60620 2014-05-27
1023445269 Russell Koenig Clinical Exercise Physiologist 88 W Schiller St Apt 1601, Chicago, IL 60610-2041 2013-10-02
1629410063 Steven Mauk Clinical Exercise Physiologist 88 W Schiller St, Chicago, IL 60610-4966 2013-07-26
1902240781 Cindy R Hooper Clinical Exercise Physiologist 1224 Sunnymeade Trl, Dekalb, IL 60115-2358 2013-04-23
1740532589 Reginald Anderson Clinical Exercise Physiologist 328 Peterson Rd, Libertyville, IL 60048-1008 2012-10-03
1639601198 Alex Colianni Clinical Exercise Physiologist 333 N Michigan Ave Ste 1900, Chicago, IL 60601-3994 2017-04-03
1437693439 Scott Brunning Clinical Exercise Physiologist 123 N Wacker Dr Ste 1250, Chicago, IL 60606-1911 2016-12-09
1578956975 Chris Scott Wellness, LLC Clinical Exercise Physiologist 1752 Windsor Rd Ste 202, Loves Park, IL 61111-4276 2015-03-09
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Competitor

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City PEORIA
Zip Code 61614

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Dataset Information

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.

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