MRS. JAMIE J FIFAREK (NPI# 1972734861) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972734861 |
| Entity Type | Individual |
| Full Name | MRS. JAMIE J FIFAREK |
| Credential | DPT |
| Practice Address |
2404 E Empire St Bloomington IL 61704-3630 |
| Mailing Address |
515 Kreitzer Ave Bloomington IL 61701-5605 |
| Practice Telephone | 3096638275 |
| Practice Fax Number | 3096627872 |
| Mailing Telephone | 3096638275 |
| Mailing Fax Number | 3096627872 |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2009-07-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
070017206 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2404 E EMPIRE ST |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61704-3630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396947974 | Debra Dietrich | Psychologist | 2404 E Empire St, Bloomington, IL 61704-3630 | 2007-06-05 |
| 1235785106 | Meghan Cotsones | Physical Therapist | 2404 E Empire St, Bloomington, IL 61704-3630 | 2019-08-15 |
| 1851858880 | Michelle Lynn Bognanno | Speech-Language Pathologist | 2404 E Empire St, Bloomington, IL 61704-3630 | 2019-02-26 |
| 1457817199 | Margaret Renee Jones | Social Worker | 2404 E Empire St, Bloomington, IL 61704-3630 | 2019-02-19 |
| 1386129864 | Hallie M Johnson | Behavioral Analyst | 2404 E Empire St, Bloomington, IL 61704-3630 | 2018-10-01 |
| 1336515022 | Amanda Gruber | Physical Therapist | 2404 E Empire St, Bloomington, IL 61704-3630 | 2015-08-17 |
| 1033548367 | Jim Cooper | Developmental Therapist | 2404 E Empire St, Bloomington, IL 61704-3630 | 2013-11-07 |
| 1134427669 | Easter Seals | Speech-Language Pathologist | 2404 E Empire St, Bloomington, IL 61704-3630 | 2011-03-08 |
| 1801103528 | Erin Marlene Fabish | Speech-Language Pathologist | 2404 E Empire St, Bloomington, IL 61704-3630 | 2010-09-01 |
| 1144492257 | Laurie Marie Jeans | Specialist | 2404 E Empire St, Bloomington, IL 61704-3630 | 2008-03-28 |
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|---|---|---|---|---|
| 1518430859 | Visionpoint Eye Center LLC | Optometrist | 1107 Airport Road, Bloomington, IL 61704 | 2019-01-09 |
| 1922588235 | Geethu Sabu Makil | Speech-Language Pathologist | 1039 Blueheron Way, Apt#3, Bloomington, IL 61704 | 2018-08-16 |
| 1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
| 1649798513 | Sarah Goodner | Psychologist | 1704 Royal Pointe Drive, Bloomington, IL 61704 | 2017-08-31 |
| 1346760253 | Elizabeth Devlin | Nurse Practitioner | 25 Long Cove Ct, Bloomington, IL 61704 | 2017-06-21 |
| 1396107918 | Darla Schwertfeger | Specialist/Technologist, Other | 2104 Hedgewood Dr, Bloomington, IL 61704 | 2016-03-23 |
| 1740662949 | Oncology Hematology Associates of Central Illinois | Pharmacy | 3105 Magory Drive, Bloomington, IL 61704 | 2015-06-24 |
| 1821478967 | Kelly R Andrews | Massage Therapist | 4101 Wicker Rd, Bloomington, IL 61704 | 2015-06-03 |
| 1235522582 | All Ways Caring Services, Inc. | In Home Supportive Care | 209 S Prospect Rd, Suite 3e, Bloomington, IL 61704 | 2015-03-11 |
| 1396093977 | Bhawna Gupta | Physical Therapist | 2200 East Washington Street, Bloomington, IL 61704 | 2012-08-29 |
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| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336351881 | Patricia L Landgraf | Physical Therapist | 2653 S Stratford Dr, Bloomington, IN 47401-4147 | 2007-05-05 |
| 1861544959 | Maria Cielito Alma Maceda Berin | Physical Therapist | 2536 Industrial Drive, Suite 10-11, Bloomington, IN 47303 | 2007-01-17 |
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|---|---|---|---|---|
| 1841750411 | Crawl Walk Leap P.C. | Physical Therapist | 720 W Randolph St Apt 1103, Chicago, IL 60661-2171 | 2019-03-21 |
| 1912478777 | Elaine Rodriguez | Physical Therapist | 3332 N Kostner Ave, Chicago, IL 60641-4513 | 2018-12-05 |
| 1437625001 | Jennifer K. Buccelli, Mpt | Physical Therapist | 597 Plymouth Ct, Gurnee, IL 60031-3229 | 2018-10-22 |
| 1124511159 | Molly Victorine | Physical Therapist | 1375 Newcastle Ln, Hoffman Estates, IL 60169-1225 | 2018-06-13 |
| 1750896163 | Julie Ann Brady | Physical Therapist | 430 Nevada St, Frankfort, IL 60423-1565 | 2017-12-07 |
| 1467965939 | Carla Gain | Physical Therapist | 118 Westhaven School Rd, Belleville, IL 62220-3264 | 2017-11-07 |
| 1538678354 | Anita Tallegien Daneshdoost | Physical Therapist | 1725 Shomaker Drive, Murphysboro, IL 62966 | 2017-09-25 |
| 1861917189 | Marisa Raineri | Physical Therapist | 750 Pasquinelli Dr., #204, Westmont, IL 60559 | 2017-08-08 |
| 1669915674 | Anna's Pediatric Physical Therapy LLC | Physical Therapist | 2120 W Armitage Ave, Unit 1, Chicago, IL 60647-4516 | 2016-11-22 |
| 1417409970 | Katherine Wolff | Physical Therapist | 12 N Kenilworth Ave, Mount Prospect, IL 60056-2232 | 2016-11-01 |
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| City | BLOOMINGTON |
| Zip Code | 61704 |
Please comment or provide details below to improve the information on MRS. JAMIE J FIFAREK.
| 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.