REBOUND PHYSICAL THERAPY CENTER PC (NPI# 1710099270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710099270 |
| Entity Type | Organization |
| Organization Name | REBOUND PHYSICAL THERAPY CENTER PC |
| Practice Address |
3616 N Main St Rockford IL 61103-2159 |
| Practice Telephone | 8158775932 |
| Practice Fax Number | 8158776302 |
| Mailing Telephone | 8158775932 |
| Mailing Fax Number | 8158776302 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2011-03-31 |
| Authorized Official Name | K. MARK FISCHER (PRESIDENT) |
| Authorized Official Telephone | 8158775932 |
| Authorized Official Credential | D.O., L.P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | IL | Ambulatory Health Care Facilities |
| Street Address |
3616 N MAIN ST |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61103-2159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144298381 | Jennifer L Wuori | Physical Therapist | 3616 N Main St, Rockford, IL 61103-2159 | 2006-03-14 |
| 1639624455 | Kelly Demus | Physical Therapist | 3616 N Main St, Rockford, IL 61103-2159 | 2016-08-22 |
| 1154779627 | Paul M Jonff | Physical Therapist | 3616 N Main St, Rockford, IL 61103-2159 | 2016-05-25 |
| 1922455393 | Jacob Mueller | Physical Therapist | 3616 N Main St, Rockford, IL 61103-2159 | 2016-05-16 |
| 1831567049 | Daiane Trevisan Latosinski | Physical Therapist | 3616 N Main St, Rockford, IL 61103-2159 | 2015-09-03 |
| 1467846501 | Accelerated Rehabilitation Centers, Ltd | Physical Therapist | 3616 N Main St, Rockford, IL 61103-2159 | 2015-03-26 |
| 1053747899 | Rachel M Zimmerman | Physical Therapist | 3616 N Main St, Rockford, IL 61103-2159 | 2013-09-25 |
| 1932429297 | Erin Wilson | Physical Therapist | 3616 N Main St, Rockford, IL 61103-2159 | 2010-06-09 |
| 1639300122 | Byron Cann | Physical Therapist | 3616 N Main St, Rockford, IL 61103-2159 | 2009-07-31 |
| 1255570206 | Samantha J Owen | Physical Therapy Assistant | 3616 N Main St, Rockford, IL 61103-2159 | 2009-02-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598398497 | The Elitist Group | Home Health Aide | 2929 N Main Street, Rockford, IL 61103 | 2020-02-19 |
| 1972064194 | Mahita Bellamkonda | Student in an Organized Health Care Education/Training Program | 2400 North Rockton Avenue, Rockford, IL 61103 | 2019-03-29 |
| 1558538967 | Willows Health Center | Clinic/Center | 4143 Albright Lane, Rockford, IL 61103 | 2008-05-14 |
| 1497845135 | Humaira Bari | Internal Medicine | 2400 N. Rockton Avenue, Rockford, IL 61103 | 2006-10-13 |
| 1841385242 | Rachel Pawlowski | Occupational Therapist | 3616 N. Main Street, Rockford, IL 61103 | 2006-10-03 |
| 1417068438 | Alicia Anne Huntley | Midwife | 2400 Rockton Ave, Rockford, IL 61103 | 2006-08-31 |
| 1639190200 | Glendon Burress | Pediatrics | 2300 N. Rockton Ave., Rockford Health Physicians, Rockford, IL 61103 | 2006-07-21 |
| 1225065204 | Daniel William Johnson | Dentist | 519 Toner Av, Rockford, IL 61103 | 2006-06-27 |
| 1760472898 | Ronald Peter Oberfoell | Anesthesiology | 2400 North Rockton Ave, Rockford Health Physicians, Rockford, IL 61103 | 2005-10-28 |
| 1841752532 | Dipti Sabharwal | Student in an Organized Health Care Education/Training Program | 2400 N Rockton Avenue, Rockford, IL 61103 | 2019-04-02 |
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| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568069805 | Elite Spine & Wellness Center, Inc | Clinic/Center | 5898 Pathfinder Rd, Rockford, IL 61109-4008 | 2020-10-08 |
| 1932227931 | Osborne Wellness Center, Sc | Clinic/Center | 7384 Countryshire Ln, Rockford, IL 61107-2772 | 2007-03-27 |
| 1639715923 | Creek Counseling | Clinic/Center | 6653 Weaver Rd, Rockford, IL 61114-8025 | 2019-11-21 |
| 1437676731 | Rockford Wellness Associates, Sc | Clinic/Center | 6019 Fincham Dr, Rockford, IL 61108-2550 | 2017-08-28 |
| 1770999872 | Healthworks Medical Group of Illinois S C | Clinic/Center | 2801 S Springfield Ave, Rockford, IL 61102-4205 | 2014-07-09 |
| 1255618732 | Jeanne M Flesch PC | Clinic/Center | 415 S Mulford Rd, Rockford, IL 61108-3011 | 2011-11-10 |
| 1295982973 | Brauer Family Chiropractic, Inc. | Clinic/Center | 7264 Argus Dr, Rockford, IL 61107-5837 | 2008-08-25 |
| 1265601579 | Terry R Roth Md PC | Clinic/Center | 4920 E State St, Rockford, IL 61108-2272 | 2008-02-21 |
| 1750376638 | Miller Eye Center Ltd | Clinic/Center | 2995 Eastrock Dr, Rockford, IL 61109-1737 | 2005-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407453236 | Dirsi, Inc | Clinic/Center | 2112 N Dayton St, Chicago, IL 60614-4302 | 2020-10-05 |
| 1588261770 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 2701 W 68th St Fl 3, Chicago, IL 60629-1813 | 2020-10-01 |
| 1013514298 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 1500 S Fairfield Ave Fl 4, Chicago, IL 60608-1782 | 2020-10-01 |
| 1841804879 | Chicago Poly Clinic LLC | Clinic/Center | 2446 W Devon Ave, Chicago, IL 60659-1913 | 2020-09-08 |
| 1386258226 | Ortho Spine Surgical LLC | Clinic/Center | 1925 E 95th St Ste 220, Chicago, IL 60617-4710 | 2020-09-08 |
| 1821607425 | Desired Medical Services Incorporated | Clinic/Center | 371 Mackinaw Ave, Calumet City, IL 60409-2524 | 2020-07-29 |
| 1639787823 | Md Infusions, Pllc | Clinic/Center | 666 Dundee Rd Ste 1800, Northbrook, IL 60062-2727 | 2020-07-14 |
| 1407474083 | Staten Family Practice Pllc | Clinic/Center | 500 W Virginia Ave, Gillespie, IL 62033-1025 | 2020-07-09 |
| 1629696679 | Serenity Internal Medicine & Wellness Center | Clinic/Center | 3330 W 177th St # 2d-1, Hazel Crest, IL 60429-2184 | 2020-07-07 |
| 1407473663 | Champion Chiropractic PC | Clinic/Center | 148 S Bloomingdale Rd Ste 107e, Bloomingdale, IL 60108-1491 | 2020-07-02 |
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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.