Brock Wayne Athey (NPI# 1609152735, PAC ID# 5991051682) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1609152735 |
| PAC ID by PECOS | 5991051682 |
| Professional Enrollment ID | I20180711001389 |
| Full Name | Brock Wayne Athey |
| Organization Legal Name | ATHLETIC AND THERAPEUTIC INSTITUTE OF BOURBONNAIS, LLC |
| Address |
1300 E Route 40 Casey IL 62420-3126 |
| Phone Number | 2179322100 |
| Gender | M |
| Graduation Year | 2009 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 4183692577 |
| Number of Group Practice Members | 241 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1300 E Route 40, Casey, IL 62420-3126 | 2179322100 | ATHLETIC AND THERAPEUTIC INSTITUTE OF BOURBONNAIS, LLC |
| Organization Legal Name | ATHLETIC AND THERAPEUTIC INSTITUTE OF BOURBONNAIS, LLC |
| Physicians | 256 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacob W Comstock | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 1296 W Boughton Rd, Bolingbrook, IL 60490-1554 |
| Allison Anne Zak | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 2340 W Indian Trl, Suite 120, Aurora, IL 60506-1570 |
| Adam C Detoni | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 1240 Route 34, Oswego, IL 60543-8939 |
| Mark Whitsitt | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 11535 Us Hwy 14, Woodstock, IL 60098-7227 |
| Samantha Marconi | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 3080 Caton Farm Rd, Unit 17, Joliet, IL 60435-1455 |
| Shelby Osterberg | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 12112 S Route 47, Huntley, IL 60142-9619 |
| Matthew Windmoeller | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 1521 E Riverside Blvd, Suite 2, Loves Park, IL 61111-4771 |
| Mandi Miller | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 605 E Southline Rd, Tuscola, IL 61953-2053 |
| Shannon P Gengenbacher | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 3082 Caton Farm Rd, Joliet, IL 60435-1455 |
| Mirette Mikhail | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 336 -338 W Ogden Ave, Downers Grove, IL 60515-3141 |
| Street Address |
1300 E ROUTE 40 |
| City | CASEY |
| State | IL |
| Zip | 62420-3126 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patrick M Niebrugge | Optometry | 1279 E Us Hwy 40, Casey, IL 62420-0528 | |
| Tammy K Munch | Physician Assistant | Sarah Bush Lincoln Health Center | 410 N W 3rd St, Casey, IL 62420-1014 |
| Richard L Mcdade | Clinical Social Worker | Sarah Bush Lincoln Health Center | 410 Nw3rd St, Casey, IL 62420-1014 |
| Tony Lee Butcher | Chiropractic | 409 N Central Ave, Casey, IL 62420-1408 | |
| Aaron Lee Thomas Stinson | Chiropractic | 409 N Central Ave, Casey, IL 62420-1408 | |
| Diana L Oakley | Nurse Practitioner | Sarah Bush Lincoln Health Center | 934 N Route 49 A, Sbl Casey Clinic, Casey, IL 62420-1454 |
| Karen S Huddlestun | Nurse Practitioner | 11 N Central Ave, Casey, IL 62420-1620 |
| City | CASEY |
| Zip Code | 62420 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | CASEY + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Brock Wayne Athey.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.