DEBORAH A MITCHELL PHYSICAL THERAPY, LLC (NPI# 1912342429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912342429 |
| Entity Type | Organization |
| Organization Name | DEBORAH A MITCHELL PHYSICAL THERAPY, LLC |
| Other Organization Name | RED ROCK PHYSICAL THERAPY AND WELLNESS |
| Practice Address |
5435 Bull Valley Rd Suite 110 Mchenry IL 60050-7434 |
| Practice Telephone | 8154514502 |
| Mailing Telephone | 8154514502 |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2013-05-10 |
| Authorized Official Name | DR. DEBORAH A MITCHELL (PHYSICAL THERAPIST) |
| Authorized Official Telephone | 8154514502 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
70013347 | IL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Red Rock Physical Therapy and Wellness | Doing Business As Name - Organization |
| Street Address |
5435 BULL VALLEY RD SUITE 110 |
| City | MCHENRY |
| State | IL |
| Zip Code | 60050-7434 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164426094 | Oscar Mauricio Sanchez | Family Medicine | 5435 Bull Valley Rd, Ste 218, Mchenry, IL 60050-7435 | 2005-06-09 |
| 1770034860 | Glenn Gottner | Acupuncturist | 5435 Bull Valley Rd, Suite 118, Mchenry, IL 60050-7434 | 2016-10-24 |
| 1366997348 | Allyson Lyn Stellmach | Physical Therapist | 5435 Bull Valley Rd, Suite 110, Mchenry, IL 60050-7434 | 2016-08-19 |
| 1538409909 | Ami G. Kalisek | Massage Therapist | 5435 Bull Valley Rd, Suite110, Mchenry, IL 60050-7434 | 2013-02-22 |
| 1255612933 | Bella Medica Laser Center | Specialist/Technologist, Other | 5435 Bull Valley Rd, Suite#118, Mchenry, IL 60050-7434 | 2011-09-08 |
| 1700052305 | Behavior Modification Clinic, Ltd. | Community/Behavioral Health | 5435 Bull Valley Rd, Suite 106, Mchenry, IL 60050-7434 | 2008-05-02 |
| 1174795991 | Thomas Tilot Md Sc | Clinic/Center | 5435 Bull Valley Rd, Suite 200, Mchenry, IL 60050-7434 | 2008-04-01 |
| 1104948991 | Omso Medical Ltd | Internal Medicine | 5435 Bull Valley Rd, Suite 218, Mchenry, IL 60050-7435 | 2007-04-04 |
| 1386762979 | Cindy Lynn Herreweyers | Social Worker | 5435 Bull Valley Rd, Suite124, Mchenry, IL 60050-7434 | 2007-03-26 |
| 1396871836 | Christian Eric Straube | Counselor | 5435 Bull Valley Rd, 124, Mchenry, IL 60050-7434 | 2007-02-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932728003 | Tco Jv, LLC | Skilled Nursing Facility | 550 Ridgeview Drive, Mchenry, IL 60050 | 2020-04-09 |
| 1992274971 | Lisa Luedtke | Counselor | 5342 West Elm Street, Mchenry, IL 60050 | 2018-11-19 |
| 1013402825 | Fox Ridge Medical Associates, LLC | Internal Medicine | 3633 Municipal Dr, Mchenry, IL 60050 | 2018-06-25 |
| 1700387065 | Richard Stacy Birmantas | Speech-Language Pathologist | 6515 West Route 120, Mchenry, IL 60050 | 2018-02-22 |
| 1659888774 | Kathleen Mather | Speech-Language Pathologist | 3502 Washington St, Mchenry, IL 60050 | 2018-01-10 |
| 1891205605 | Delorean Mckinney | Psychologist | 4031 Dayton Ave, Mchenry, IL 60050 | 2017-10-06 |
| 1851810741 | Diana Park | Pharmacist | 2253 N. Richmond Rd., Mchenry, IL 60050 | 2017-09-12 |
| 1063931921 | Lauren M Young | Counselor | 4031 W. Dayton Street, Mchenery, IL 60050 | 2017-09-12 |
| 1376086264 | Elizabeth Kathleen Zacher | Social Worker | 4100 W Dayton Street, Mchenry, IL 60050 | 2016-11-23 |
| 1700332491 | Jasmine Elias | Social Worker | 4031 Dayton St, Mchenry, IL 60050 | 2016-09-01 |
| Find all providers in zip 60050 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598882391 | Conroy Sports Physical Therapy LLC | Clinic/Center | 319 North Front St, Mchenry, IL 60050-5504 | 2007-03-25 |
| 1467473280 | Integrity Therapy | Clinic/Center | 4306 W Crystal Lake Rd Ste A, Mchenry, IL 60050-4249 | 2006-07-21 |
| 1407129356 | Ltz Physical Therapy Center Inc | Clinic/Center | 4117 W Shamrock Ln, Mchenry, IL 60050-8289 | 2012-02-22 |
| 1649541509 | Ltz Physical Therapy Center Corp | Clinic/Center | 4117 W Shamrock Ln, Mchenry, IL 60050-8289 | 2012-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790336 | Priority You Physical Therapy and Wellness, Pllc | Clinic/Center | 20660 Caton Farm Rd., Unit A, Crest Hills, IL 60403 | 2020-11-03 |
| 1487253464 | Chimera Health Pllc | Clinic/Center | 525 N Ada St Apt 10, Chicago, IL 60642-6486 | 2020-10-21 |
| 1528666468 | Chicago Pelvic Health and Wellness, LLC | Clinic/Center | 1020 E Ogden Ave Ste 309, Naperville, IL 60563-8611 | 2020-10-13 |
| 1548876063 | Midwest Orthopaedics At Rush, LLC | Clinic/Center | 1000 Commerce Court, Suite 101, Bensenville, IL 60106 | 2020-09-21 |
| 1518573963 | Better Play Performance & Rehab Pllc | Clinic/Center | 1201 Waters Edge Rd, Champaign, IL 61822-8101 | 2020-09-21 |
| 1548876329 | Midwest Orthopaedics At Rush, LLC | Clinic/Center | 17130 Prime Blvd Ste 101, Lockport, IL 60441-1311 | 2020-09-17 |
| 1124631676 | Leena Bird Physical Therapy Pllc | Clinic/Center | 400 Prairie Knoll Dr, Naperville, IL 60565-4154 | 2020-08-25 |
| 1831702232 | Pararmount Physical Therapy LLC | Clinic/Center | 2960 Artesian Rd Ste 152, Naperville, IL 60564-4876 | 2020-08-25 |
| 1487263851 | Priority You Physical Therapy and Wellness Pllc | Clinic/Center | 2101 Alpine Way, Plainfield, IL 60586-5079 | 2020-07-30 |
| 1093324345 | Motogenix Concierge Physical Therapy | Clinic/Center | 111 S Morgan St Apt 620, Chicago, IL 60607-2732 | 2020-07-23 |
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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.