GREATER PEORIA PHYSICAL MEDICINE (NPI# 1699152488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699152488 |
| Entity Type | Organization |
| Organization Name | GREATER PEORIA PHYSICAL MEDICINE |
| Practice Address |
5001 N University St Peoria IL 61614-4799 |
| Practice Telephone | 3096932225 |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2015-04-30 |
| Authorized Official Name | MR. MARSHALL COLLIER (LMT) |
| Authorized Official Telephone | 3096932225 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 227.007402 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
5001 N UNIVERSITY ST |
| City | PEORIA |
| State | IL |
| Zip Code | 61614-4799 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770550519 | Daniel Todd Joseph | Chiropractor | 5001 N University St, Suite A, Peoria, IL 61614-4799 | 2006-03-01 |
| 1912379777 | Amanda Gawelek | Nurse Practitioner | 5001 N University St, Peoria, IL 61614-4799 | 2015-10-20 |
| 1851776025 | Joseph & Hishon Integrated Health Center Ltd | Family Medicine | 5001 N University St, Suite A, Peoria, IL 61614-4799 | 2015-07-29 |
| 1730566910 | Terrie Steubinger | Massage Therapist | 5001 N University St, Peoria, IL 61614-4799 | 2015-04-27 |
| 1750358669 | Heath William Hishon | Chiropractor | 5001 N University St, Suite A, Peoria, IL 61614-4799 | 2006-03-01 |
| 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 |
| Find all providers in zip 61614 | ||||
| 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 |
|---|---|---|---|---|
| 1871158386 | Jamie Lauren Keune | Massage Therapist | 30081 N 70th Dr, Peoria, AZ 85383-3048 | 2019-05-09 |
| 1255831517 | Patricia Ann Bryan | Massage Therapist | 3530 W Willow Knolls Dr, Peoria, IL 61614-1010 | 2018-02-13 |
| 1053776880 | Adam Matthew Hoeper | Massage Therapist | 2208 W. Willow Knolls Rd, Peoria, IL 61614-1647 | 2015-12-21 |
| 1306241377 | Ruby Dee Ross | Massage Therapist | 2208 W Willow Knolls Rd, Peoria, IL 61614-1467 | 2014-11-03 |
| 1689079659 | Marjorie Lee Bard | Massage Therapist | 2208 W Willow Knolls Rd., Peoria, IL 61614-1467 | 2014-11-03 |
| 1225377708 | Judy Ann Stuebs | Massage Therapist | 9206 W Mobile Ave, Peoria, AZ 85345-5537 | 2013-02-04 |
| 1194041061 | Jenna L Sparks | Massage Therapist | 9191 W Thunderbird Rd Ste 108, Peoria, AZ 85381-4270 | 2010-04-15 |
| 1699909440 | Phillip G Washington | Massage Therapist | 8826 W Seldon Ln, Peoria, AZ 85345-2517 | 2009-05-07 |
| 1326281452 | Angela Brown | Massage Therapist | 9118 N 80th Ln, Peoria, AZ 85345-4821 | 2009-04-20 |
| 1821262346 | Kathleen L Fleury-dougherty | Massage Therapist | 8877 W Union Hills Dr Ste 300, Peoria, AZ 85382 | 2008-04-15 |
| Find all providers in PEORIA | ||||
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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.