VIDIT ATUL PHANSE (NPI# 1043731540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043731540 |
| Entity Type | Individual |
| Full Name | VIDIT ATUL PHANSE |
| Practice Address |
620 W Bridgeport St White Hall IL 62092-1001 |
| Mailing Address |
203 Kentucky St Jacksonville IL 62650-3056 |
| Practice Telephone | 2173746714 |
| Mailing Telephone | 3129531438 |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2017-07-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 070.022922 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
620 W BRIDGEPORT ST |
| City | WHITE HALL |
| State | IL |
| Zip Code | 62092-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023183431 | White Hall Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 620 W Bridgeport St, White Hall, IL 62092-1001 | 2006-11-21 |
| 1194113514 | Brenn Killion | Specialist | 620 W Bridgeport St, White Hall, IL 62092-1001 | 2015-01-07 |
| 1619386430 | Amy Lynn Heitzig | Physical Therapy Assistant | 620 W Bridgeport St, White Hall, IL 62092-1001 | 2014-08-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619302510 | Netherine Lann Valencia Agsalda | Physical Therapist | 620 W Bridgeport St., White Hall Nursing and Rehab, White Hall, IL 62092 | 2013-09-10 |
| 1023292265 | Pamida Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 116 N Main, White Hall, IL 62092 | 2007-12-24 |
| 1518024009 | Sherdel Janssen | Registered Nurse | 505 S Main St, White Hall, IL 62092-1002 | 2007-01-03 |
| 1366535304 | Thomas H. Boyd Memorial Hospital | Clinic/Center | 116a N Main St, White Hall, IL 62092-1054 | 2006-10-02 |
| 1003416546 | Jeremy Elliott | Nurse Practitioner | 116a N Main St, White Hall, IL 62092-1054 | 2020-10-26 |
| 1295078137 | Pharmacy Plus, Inc. | Pharmacy | 116 N Main St, White Hall, IL 62092-1054 | 2013-03-28 |
| 1760767743 | Jason Campbell | Pharmacist | 116 N Main St, White Hall, IL 62092-1054 | 2011-10-20 |
| 1588798045 | Janice Knight Breece | Pharmacist | 116 N Main St, White Hall, IL 62092-1054 | 2007-03-15 |
| 1306970769 | Gary Lawrence Breece | Pharmacist | 116 N Main St, White Hall, IL 62092-1054 | 2007-03-15 |
| 1447300926 | City Drug Inc. | Pharmacy | 116 N Main St, White Hall, IL 62092-1054 | 2007-01-10 |
| Find all providers in zip 62092 | ||||
| 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 |
|---|---|---|---|---|
| 1619302510 | Netherine Lann Valencia Agsalda | Physical Therapist | 620 W Bridgeport St., White Hall Nursing and Rehab, White Hall, IL 62092 | 2013-09-10 |
| 1205183274 | Julie Anna Flaherty | Physical Therapist | 4105 Norrisville Rd Unit 7, White Hall, MD 21161-9308 | 2012-08-09 |
| 1376763193 | Carrie Gordon Larson Warfel | Physical Therapist | 2601 Garrett Rd, White Hall, MD 21161-9743 | 2007-04-26 |
| 1285274282 | Agape Physical Therapy & Sports Rehabilitation Lp | Physical Therapist | 4105 Norrisville Rd Unit 7, White Hall, MD 21161-9308 | 2020-01-08 |
| 1376956748 | Loida Lim Baculanta | Physical Therapist | 549 N Main St, Apt 4, White Hall, IL 62092-1281 | 2014-06-03 |
| 1932432135 | Montessa N Elkins | Physical Therapist | 7500 Dollarway Rd, Suite 107, White Hall, AR 71602 | 2009-09-08 |
| 1891991691 | Douglas Allen Warfel | Physical Therapist | 2601 Garrett Rd, White Hall, MD 21161-9743 | 2007-06-27 |
| 1962552760 | James Stephen Guffey | Physical Therapist | 7500 Dollarway Rd, Ste 107, White Hall, AR 71602 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366874 | Rachel Stoffregen | Physical Therapist | 812 East Ogden Ave, Westmont, IL 60559 | 2020-11-04 |
| 1710588264 | Be Well Physical Therapy and Wellness Inc. | Physical Therapist | 12509 W 159th St, Homer Glen, IL 60491-7845 | 2020-11-02 |
| 1346841871 | Anneisha Elerby | Physical Therapist | 305 W Indian Trl Ste B, Aurora, IL 60506-2473 | 2020-11-02 |
| 1326648023 | Jacob Daniel Ledesma | Physical Therapist | 588 William R Latham Senior Dr Ste 5, Bourbonnais, IL 60914 | 2020-10-30 |
| 1518567445 | Melissa Z Septon | Physical Therapist | 975 Auburn Ave, Highland Park, IL 60035-1119 | 2020-10-29 |
| 1841890787 | Eskoff Physical Therapy, LLC | Physical Therapist | 10545 Royal Porthcawl Dr, Naperville, IL 60564-8113 | 2020-10-29 |
| 1780283382 | Annmarie Perelle | Physical Therapist | 100 Village Green Drive, Suite 2010, Lincolnshire, IL 60069 | 2020-10-23 |
| 1720687585 | Cassandra Coleman | Physical Therapist | 13731 Quail Run Ct, Homer Glen, IL 60491-9448 | 2020-10-22 |
| 1528667698 | Saptherapy Physical Rehab & Associates | Physical Therapist | 111 N Wabash Ave Ste 1300, Chicago, IL 60602-2010 | 2020-10-20 |
| 1841899218 | Diana Ahtziri Trujillo Torres | Physical Therapist | 3934 W 68th St, Chicago, IL 60629-4106 | 2020-10-18 |
| Find all providers with the same taxonomy | ||||
| City | WHITE HALL |
| Zip Code | 62092 |
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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.