PHOENIX PHYSICAL THERAPY (NPI# 1659525368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659525368 |
| Entity Type | Organization |
| Organization Name | PHOENIX PHYSICAL THERAPY |
| Practice Address |
4111 N Illinois St Ste C Swansea IL 62226-7609 |
| Practice Telephone | 6182350700 |
| Practice Fax Number | 6182350717 |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2010-06-14 |
| Authorized Official Name | BRIAN BUESCHER (MEMBER) |
| Authorized Official Telephone | 6182778577 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477682110 | Phoenix Physical Therapy | Physical Therapist | 3200 Corporate Center Dr Ste 113, Burnsville, MN 55306-5540 | 2007-03-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | PHOENIX PHYSICAL THERAPY | So Burlington, VT 05403 |
| New York State Corporations | PHOENIX PHYSICAL THERAPY & PTA PLLC | 447 Frogtown Rd, Ste 301, Akwesasne, Ny 13655 |
| North Carolina Corporations | Phoenix Physical Therapy & Wellness Center Incorporated | 4013 Tryon Rd, Raleigh, NC 27606 |
| Washington State Corporations | PHOENIX PHYSICAL THERAPY AND PERFORMANCE CENTER LLC | 10121 W Clearwater Ave Ste 115, Kennewick, WA 99336-3500 |
| Colorado Business Entities | Phoenix Physical Therapy LLC | 555 Riveragte Lane, B1-108, Durango, CO 81301 |
| Vermont Business Registrations | PHOENIX PHYSICAL THERAPY PLC | 1775 Williston Road, Sui, South Burlingt, VT 05403 |
| Washington State Corporations | PHOENIX PHYSICAL THERAPY PLLC | 10121 W Clearwater Ave Ste 113, Kennewick, WA 99336-3500 |
| New York State Corporations | PHOENIX PHYSICAL THERAPY, PLLC | 4 Charles Place, Old Tappan, New Jersey 07675 |
| Street Address |
4111 N ILLINOIS ST STE C |
| City | SWANSEA |
| State | IL |
| Zip Code | 62226-7609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972510345 | Dirk F Massie | Optometrist | 4111 N Illinois St, Swansea, IL 62226-7609 | 2006-08-01 |
| 1023400058 | Retina Contracting Inc | Ophthalmology | 4111 N Illinois St, Swansea, IL 62226-7609 | 2015-02-27 |
| 1598039067 | Hearing Professionals of America LLC | Hearing Aid Equipment | 4111 N Illinois St, Swansea, IL 62226-7609 | 2012-03-01 |
| 1588952501 | Marcus Andrew Cuff | Optometrist | 4111 N Illinois St, Swansea, IL 62226-7609 | 2011-07-11 |
| 1548588593 | Kathryn Louise Hammond Daniels | Physical Therapist | 4111 N Illinois St, Ste C, Swansea, IL 62226-7609 | 2010-05-13 |
| 1265527394 | Performance Eyecare PC | Optometrist | 4111 N Illinois St, Swansea, IL 62226-7609 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639778160 | Roxanna Lee Gunnels | Nurse Practitioner | 1 Bronze Pointe Plaza Suite 1a, Swansea, IL 62226 | 2020-10-26 |
| 1053969790 | Consistent Medical Transportation | Driver | 2012 N 17th St, Swansea, IL 62226 | 2019-08-27 |
| 1497314371 | Medi-plex Hospice of Illinois, LLC | Registered Nurse | 8 Park Place, Suite #3, Swansea, IL 62226 | 2019-06-13 |
| 1336617364 | Nicole Renee Schmidt | Speech-Language Pathologist | 150 N 27th St., Belleville, IL 62226 | 2018-11-07 |
| 1295258903 | Catherine Espino | Pharmacist | 11 Chambers Blvd, Swansea, IL 62226 | 2017-07-25 |
| 1366806838 | Kiley Faires | Nurse Practitioner | 4600 Memorial Drive Ste 360, Belleville, IL 62226 | 2016-04-11 |
| 1760857585 | Mvp Transportation | Non-emergency Medical Transport (VAN) | 1229 N 17th Street, Number 23, Belleville, IL 62226 | 2015-12-04 |
| 1275952566 | Aisha Danyale Franklin | Internal Medicine | 4261 Woodfield Pl, Belleville, IL 62226 | 2014-04-15 |
| 1396168332 | Jayne E. Ninness | Physical Therapy Assistant | 4500 Memorial Dr., Memorial Hospital, Belleville, IL 62226 | 2014-01-28 |
| 1053758193 | Gateway Foundation, Inc. | Clinic/Center | 1 Bronze Point, Suite 1, Swansea, IL 62226 | 2013-05-30 |
| Find all providers in zip 62226 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003449489 | John Lorenz Loyola Manubag | Physical Therapist | 3900 Sullivan Dr, Swansea, IL 62226-7397 | 2020-02-13 |
| 1457841124 | Victoria Christine Baker | Physical Therapist | 4210 Rodin Ave, Swansea, IL 62226-8917 | 2018-05-17 |
| 1013428234 | Diane S Sweeney | Physical Therapist | 12 Wolf Creek Dr Ste 200c, Swansea, IL 62226-2314 | 2017-10-15 |
| 1629471438 | Samuel Munie | Physical Therapist | 7 Emerald Ter, Swansea, IL 62226-2321 | 2014-10-07 |
| 1225240278 | Susan Cotta | Physical Therapist | 10 Lafayette St, Swansea, MA 02777-2610 | 2007-05-03 |
| 1043364243 | Kristin Nicole Solovitz | Physical Therapist | 221 W Pointe Dr, Swansea, IL 62226-8306 | 2007-01-23 |
| 1871657163 | Mount Hope Physical Therapy | Physical Therapist | 1738 Grand Army Hwy, Swansea, MA 02777-3906 | 2006-12-20 |
| 1477668531 | Brian E Buescher | Physical Therapist | 4111 N. Illinois Street, Suite C, Swansea, IL 62226 | 2006-08-20 |
| 1720094634 | Christopher Earl Bennett | Physical Therapist | 4972 Benchmark Centre Dr, Suite 400, Swansea, IL 62226-2070 | 2006-07-31 |
| 1497717201 | Jane Marie Herrmann | Physical Therapist | 1505 Comer Ave, Swansea, IL 62226-2140 | 2006-04-05 |
| Find all providers in SWANSEA | ||||
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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.