TODD M GENOVESE (NPI# 1902411325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902411325 |
| Entity Type | Individual |
| Full Name | TODD M GENOVESE |
| Credential | LMT |
| Practice Address |
3209 Twin Ridge Ln Rockford IL 61109-3866 |
| Practice Telephone | 7086696155 |
| Mailing Telephone | 7086696155 |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2020-09-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 227.021128 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3209 TWIN RIDGE LN |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61109-3866 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487164398 | Linda A Morel | Speech-Language Pathologist | 6129 Valley Knoll Drive, Rockford, IL 61109 | 2017-10-05 |
| 1841720315 | Activate Healthcare - Local 23 Clinic | Clinic/Center | 3413 Colony Bay, Rockford, IL 61109 | 2017-06-15 |
| 1255430062 | Suzanne E. Wang | Nurse Practitioner | 4940 East State Street, Rockford Veterans Administration Out Patient Clinic, Rockford, IL 61109 | 2006-09-21 |
| 1073597498 | Peter Joseph Gunther | Optometrist | 2995 Eastrock Dr, Rockford, IL 61109 | 2005-11-30 |
| 1104482769 | Catherine L Hill | Nurse's Aide | 2831 Bildahl St, Rockford, IL 61109-1136 | 2019-05-18 |
| 1962671701 | Rosecrance, Inc. | Substance Abuse Rehabilitation Facility | 3522 Green Dale Dr, Rockford, IL 61109-1575 | 2008-02-26 |
| 1326174665 | Lloyd Hearing Aid Corp | Hearing Instrument Specialist | 4435 Manchester Dr, Rockford, IL 61109-1655 | 2007-02-23 |
| 1710965439 | Gary Michael Briden | Family Medicine | 4423 Manchester Dr, Rockford, IL 61109-1655 | 2006-01-03 |
| 1386092625 | Andrew Palmquist | Hearing Instrument Specialist | 4435 Manchester Dr, Rockford, IL 61109-1655 | 2016-05-26 |
| 1851324289 | Reginald Dinan Quart | Family Medicine | 4423 Manchester Dr, Rockford, IL 61109-1655 | 2006-07-09 |
| Find all providers in zip 61109 | ||||
| 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 |
|---|---|---|---|---|
| 1558980797 | Christy Ann Cellitti | Massage Therapist | 2222 E State St Ste A98, Rockford, IL 61104-1572 | 2020-04-08 |
| 1922452572 | Sarah Deur | Massage Therapist | 7500 Agawa Trl Ne, Rockford, MI 49341-8524 | 2016-04-20 |
| 1366801664 | Lorri Ann Kelbel | Massage Therapist | 11591 Northland Drive Ne, Rockford, MI 49341 | 2016-02-15 |
| 1225413073 | Hannah Grissom | Massage Therapist | 11591 Northland Dr Ne, Rockford, MI 49341-8426 | 2015-07-22 |
| 1144618984 | Maria Natalia Corales | Massage Therapist | 519 Parkside Dr, Rockford, IL 61108-2024 | 2015-01-01 |
| 1427318831 | Paulette Jeronimus | Massage Therapist | 4616 Newcastle Rd, Rockford, IL 61108-7714 | 2012-05-18 |
| 1851673669 | Nadene Johnson | Massage Therapist | 1917 E Gate Pkwy, Rockford, IL 61108-5915 | 2011-09-16 |
| 1578852216 | Robin J Debenedetto | Massage Therapist | 4967 Cardamon Ln, Rockford, IL 61114-5323 | 2011-04-04 |
| 1366744963 | Kelli Boehning | Massage Therapist | 429 Phelps Ave, Bldg. 7 Ste. 711, Rockford, IL 61108-2493 | 2010-12-02 |
| 1467785832 | Naomi Avis Yanta | Massage Therapist | 7948b Highway 55, Rockford, MN 55373 | 2009-09-16 |
| Find all providers in ROCKFORD | ||||
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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.