HERBERT DEITERS (NPI# 1992916605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992916605 |
| Entity Type | Individual |
| Full Name | HERBERT DEITERS |
| Credential | PT |
| Practice Address |
15750 Marian Dr Homer Glen IL 60491-6200 |
| Mailing Address |
2160 S 1st Ave Maywood IL 60153-3328 |
| Practice Telephone | 7086453400 |
| Mailing Telephone | 8885847888 |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2012-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 070015746 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | US DEPT OF LABOR | 367885100 | 01 |
| IL | BCBS OF IL | 1619908 | 01 |
| IL | BCBS PROVIDER # | 1623066 | 01 |
| Street Address |
15750 MARIAN DR |
| City | HOMER GLEN |
| State | IL |
| Zip Code | 60491-6200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326077819 | Melanie A Cerinich | Emergency Medicine | 15750 Marian Dr, Homer Glen, IL 60491-6200 | 2006-06-30 |
| 1285980573 | Kathryn Marie Cozzolino | Occupational Therapist | 15750 Marian Dr, Homer Glen, IL 60491-6200 | 2012-07-24 |
| 1215224274 | Jacqueline Ann Rohaly-davis | Clinical Nurse Specialist | 15750 Marian Dr, Homer Glen, IL 60491-6200 | 2011-06-28 |
| 1093978181 | Kevin R Polsley | Internal Medicine | 15750 Marian Dr, Homer Glen, IL 60491-6200 | 2008-07-08 |
| 1881854669 | Emily Mccann Tuerk | Internal Medicine | 15750 Marian Dr, Loyola Center for Health At Homer Glen, Homer Glen, IL 60491-6200 | 2008-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417490681 | Kellie Calderon | Counselor | 14007 S Bell Rd Ste 183, Homer Glen, IL 60491 | 2016-11-21 |
| 1811249915 | Jasmina Peric | Registered Nurse | 14607 Stonegate Drive, Homer Glen, IL 60491 | 2012-10-12 |
| 1700137783 | Nicole Marie Karn | Physical Therapy Assistant | 14319 Twin Creek Lane, Homer Geln, IL 60491 | 2012-10-01 |
| 1992062061 | South Suburban Hearing, Inc | Hearing Instrument Specialist | 14316 S. Will-cook Rd, Homer Glen, IL 60491 | 2012-04-13 |
| 1336417385 | Crystal Knaack | Pharmacist | 13911 W 167th St, Homer Glen, IL 60491 | 2011-12-06 |
| 1891976429 | Toothworks Inc | Dentist | 12626 W 159th St, Homer Glen, IL 60491 | 2007-11-26 |
| 1972639441 | Barbara A Bayer | Social Worker | 13528 Marissa Ct, Homer Glen, IL 60491 | 2007-02-26 |
| 1093893117 | Daniel L Clark Do Ltd | Family Medicine | 14831 W 159th St, Harris Bank Building, Lockport, IL 60491 | 2006-11-02 |
| 1720006752 | Judith Polkow | Physical Therapist | 14821 S. Founders Crossing, Homer Glen, IL 60491 | 2006-07-17 |
| 1518902188 | Allen Ophthalmic Group | Ophthalmology | 15933 South Bell Road, Homer Glen, IL 60491 | 2006-06-18 |
| Find all providers in zip 60491 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588264 | Be Well Physical Therapy and Wellness Inc. | Physical Therapist | 12509 W 159th St, Homer Glen, IL 60491-7845 | 2020-11-02 |
| 1720687585 | Cassandra Coleman | Physical Therapist | 13731 Quail Run Ct, Homer Glen, IL 60491-9448 | 2020-10-22 |
| 1023499779 | Big Wishes Therapy Services | Physical Therapist | 14418 Iz Brook Dr, Homer Glen, IL 60491-5623 | 2015-06-17 |
| 1770905184 | Christy Galardi | Physical Therapist | 15011 Greenbrier Ln, Homer Glen, IL 60491-5911 | 2014-01-21 |
| 1699100354 | Pamela Jean Simon Laporte | Physical Therapist | 14901 S. Founders Crossing, Homer Glen, IL 60491-6712 | 2013-09-12 |
| 1871898775 | Marguerite Mary Villarreal | Physical Therapist | 15448 Cranberry Ct, Homer Glen, IL 60491-9242 | 2011-01-24 |
| 1093983751 | Iwona Laciak | Physical Therapist | 14330 S Will Cook Rd, Homer Glen, IL 60491-9211 | 2008-02-15 |
| 1306910237 | Genabeth M Panes | Physical Therapist | 14146 S Bell Rd, Homer Glen, IL 60491-8465 | 2006-11-20 |
| 1811098593 | Christopher M Lask | Physical Therapist | 14035 S Bell Rd, Homer Glen, IL 60491-8463 | 2006-09-26 |
| 1235147851 | Kristina Nielsen | Physical Therapist | 14301 S Golden Oak Dr, Homer Glen, IL 60491-9696 | 2006-08-03 |
| Find all providers in HOMER GLEN | ||||
| City | HOMER GLEN |
| Zip Code | 60491 |
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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.