CATALYST PHYSIOTHERAPY, PERFORMANCE, & WELLNESS LLC (NPI# 1538613674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538613674 |
Entity Type | Organization |
Organization Name | CATALYST PHYSIOTHERAPY, PERFORMANCE, & WELLNESS LLC |
Practice Address |
710 E Railroad St Sandwich IL 60548 |
Mailing Address |
710 E Railroad St Sandwich IL 60548-2250 |
Practice Telephone | 8153136333 |
Practice Fax Number | 8154176921 |
Mailing Telephone | 8153136333 |
Mailing Fax Number | 8154176921 |
Enumeration Date | 2016-08-05 |
Last Update Date | 2018-05-22 |
Authorized Official Name | DR. SARAH GREENHAGEN (CO - OWNER PHYSICAL THERAPIST) |
Authorized Official Telephone | 8157937550 |
Authorized Official Credential | D.P.T., G.C.S. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2251S0007X |
Physical Therapist Specialization: Sports |
070010389 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
070020085 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
101 S Main St, Sandwich, IL 605482172 | 8157869291 | 8154176921 |
Street Address |
710 E RAILROAD ST |
City | SANDWICH |
State | IL |
Zip Code | 60548 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902911076 | Jason Lee Robinson | Physical Therapist | 710 E Railroad St, Sandwich, IL 60548 | 2006-08-20 |
1447684113 | Sarah Greenhagen | Specialist | 710 E Railroad St, Sandwich, IL 60548 | 2013-08-29 |
1699053793 | Amber L Vaughan | Physical Therapist | 710 E Railroad St, Sandwich, IL 60548-2605 | 2011-07-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366954166 | Northern Rehabilitation and Sports Medicine Associates | Physical Therapist | 523 E. Railroad Street, Suite A, Sandwich, IL 60548 | 2017-11-02 |
1538683040 | Ariel Eads | Counselor | 207 E Church St Unit A, Sandwich, IL 60548 | 2017-07-27 |
1093169138 | Kimberly S Miner | Acupuncturist | 100 South Latham Street, Suite 103b, Sandwich, IL 60548 | 2016-04-14 |
1316304058 | Dekalb Behavioral Health Foundation, Inc. | Clinic/Center | 100 S Latham St Ste 204, Sandwich, IL 60548 | 2016-01-26 |
1215006200 | Robert C Lerohl | Dentist | 430 S. Dayton Street, Sandwich, IL 60548 | 2006-11-06 |
1609950641 | Joseph Jimenez | Chiropractor | 823 E Church St, Sandwich, IL 60548 | 2006-10-25 |
1104919703 | Pharmacy Operations, Inc | Pharmacy | 142 Indian Springs Drive, Sandwich, IL 60548 | 2006-10-02 |
1982719209 | Anchor Dental Center Ltd | Dentist | 100 S Latham St, Sandwich, IL 60548 | 2006-08-19 |
1376566745 | Sandwich Community Fire Protection District | Ambulance | 310 E Railroad St, Sandwich, IL 60548 | 2006-07-25 |
1609355031 | Sarah Elizabeth Swygart | Counselor | 207 E Church St Unit A, Sandwich, IL 60548 | 2018-08-07 |
Find all providers in zip 60548 |
Taxonomy Code | 2251G0304X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Geriatrics |
Definition to come... |
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 |
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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.