MR. ROBERT REGINALD MEADE (NPI# 1063459618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063459618 |
| Entity Type | Individual |
| Full Name | MR. ROBERT REGINALD MEADE |
| Credential | ATC |
| Practice Address |
765 N Kellogg St Suite 300 Galesburg IL 61401-2875 |
| Mailing Address |
2668 Springer Rd Apt #18 Galesburg IL 61401-5562 |
| Practice Telephone | 3093433434 |
| Practice Fax Number | 3093433456 |
| Mailing Telephone | 5635810803 |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740571520 | Robert Benjamin Meade | Optometrist | 8 Medical Park Dr, Asheville, NC 28803-2493 | 2011-04-27 |
| 1366607608 | Robert F Meade | Optometrist | 301 Mount Hope Ave, Rockaway, NJ 07866-2130 | 2008-07-25 |
| 1306978622 | Robert Meade I | Marriage & Family Therapist | 4747 N 1st St, Suite # 119, Fresno, CA 93726-0563 | 2007-03-12 |
| 1427006436 | Robert Lawton Meade Jr. | Emergency Medicine | 190 Hospital Dr, Highlands, NC 28741-7600 | 2006-05-04 |
| 1275527616 | Robert T Meade | Internal Medicine | 511 Medical Plaza Dr, Suite 101, Leesburg, FL 34748-7326 | 2005-08-31 |
| Street Address |
765 N KELLOGG ST SUITE 300 |
| City | GALESBURG |
| State | IL |
| Zip Code | 61401-2875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982603502 | Jason T. Grandone | Physical Therapist | 765 N Kellogg St, Galesburg, IL 61401-2875 | 2005-07-15 |
| 1578969812 | Shelby Smith | Physical Therapist | 765 N Kellogg St, 3rd Fl, Galesburg, IL 61401-2875 | 2014-11-14 |
| 1356747166 | Theresa Brokaw | Physical Therapist | 765 N Kellogg St, 3rd Floor, Galesburg, IL 61401-2875 | 2014-11-06 |
| 1194131094 | Tricia L Rodich | Speech-Language Pathologist | 765 N Kellogg St, Suite C, Galesburg, IL 61401-2875 | 2014-07-11 |
| 1104247501 | Cottage Rehabilitation & Sports Medicine LLC | Occupational Therapist | 765 N Kellogg St, 3rd Floor, Galesburg, IL 61401-2875 | 2014-01-02 |
| 1457602849 | Grant R. Swanson | Physical Therapist | 765 N Kellogg St, 3rd Floor, Galesburg, IL 61401-2875 | 2012-09-25 |
| 1922360213 | Erin Mcclure | Physical Therapy Assistant | 765 N Kellogg St, Galesburg, IL 61401-2875 | 2012-06-12 |
| 1467714758 | Rachael Hulick | Physical Therapy Assistant | 765 N Kellogg St, 3rd Floor, Galesburg, IL 61401-2875 | 2012-06-12 |
| 1497076061 | J&s Kelly Galesburg, LLC | Durable Medical Equipment & Medical Supplies | 765 N Kellogg St, Suite 200, Galesburg, IL 61401-2875 | 2010-06-18 |
| 1114197498 | Teresa Sue Lozier | Occupational Therapist | 765 N Kellogg St, 3rd Floor, Galesburg, IL 61401-2875 | 2008-03-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174973 | Jeff Engwall | Pharmacist | 359 Knox Square Drive, Galesburg, IL 61401 | 2020-11-03 |
| 1861962441 | Becky Cameron | Counselor | 2323 Windish Dr., Galesburg, IL 61401 | 2018-11-27 |
| 1295245496 | Aaron Thomas Wachtel | Dentist | 1172 Monroe Street, Galesburg, IL 61401 | 2017-10-03 |
| 1588182224 | Alicia Warren | Speech-Language Pathologist | 932 Harrison St., Galesburg, IL 61401 | 2017-09-01 |
| 1770986770 | Virginia G Kasser | Psychologist | 575 N Kellogg, Galesburg, IL 61401 | 2014-10-03 |
| 1063814309 | Lakshmi Kalyani Gudavalli | Physical Therapist | 275 E Carl Sandburg Drive, Marigold Rehabilitation, Galesburg, IL 61401 | 2014-09-18 |
| 1821350489 | James Eugene Tiller | Psychologist | 2101 Windish Drive, Galesburg, IL 61401 | 2012-06-11 |
| 1720285836 | Donald J. Regnier | Hearing Instrument Specialist | 4l Plaza, Suite 57, Galesburg, IL 61401 | 2007-07-02 |
| 1306066535 | Arnold John Minor | Dentist | 69 N Chambers St, Galesburg, IL 61401 | 2007-04-30 |
| 1114140373 | Community Residential Centers Inc | Intermediate Care Facility, Mentally Retarded | 239 S Cherry Street, Galesburg, IL 61401 | 2007-04-10 |
| Find all providers in zip 61401 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174584882 | Ann Marie Pachniak | Specialist/Technologist | 1135 W Fremont St, Galesburg, IL 61401-2432 | 2006-03-31 |
| 1720056211 | Tina M Poliska | Specialist/Technologist | 2 E South St, K-226, Galesburg, IL 61401-4986 | 2006-03-09 |
| 1871967950 | Alexandra Vernon | Specialist/Technologist | 2 E South St, Galesburg, IL 61401-4938 | 2015-11-30 |
| 1508834623 | Scott William Sunderland | Specialist/Technologist | 2 E South St, K-226, Galesburg, IL 61401-4986 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538771076 | Stacey Weathers-cannon | Specialist/Technologist | 650 Ingraham Ave, Calumet City, IL 60409-4236 | 2020-08-17 |
| 1104438621 | Abril Malagon | Specialist/Technologist | 1 S Greenwood Ave, Palatine, IL 60074-6328 | 2020-08-17 |
| 1265050678 | Megan Elsbree | Specialist/Technologist | 11819 Deacon Dr, Rockton, IL 61072-9411 | 2020-07-13 |
| 1013534437 | Nicole Rose Mondelli | Specialist/Technologist | 958 Tallgrass Dr, Bartlett, IL 60103-5071 | 2020-07-01 |
| 1740806413 | Megan Herter | Specialist/Technologist | 1513 Old Ivy Dr, Springfield, IL 62711-8156 | 2020-06-18 |
| 1164047239 | Madison Stagman | Specialist/Technologist | 280 Douglas Ave Apt 4, Mascoutah, IL 62258-2963 | 2020-06-14 |
| 1588286272 | Sarah Wegrzyn | Specialist/Technologist | 3040 S Wabash Ave, Chicago, IL 60616-3474 | 2020-05-15 |
| 1336761386 | Christine Louise Shebelski | Specialist/Technologist | 15203 Pulaski Rd, Midlothian, IL 60445-3755 | 2020-05-13 |
| 1386266633 | Kathryn Riordan | Specialist/Technologist | 221 Triton Ln, Naperville, IL 60540-7926 | 2020-05-09 |
| 1487276747 | Vianey Hernandez-ramirez | Specialist/Technologist | 4115 Howard St, Skokie, IL 60076-3749 | 2020-05-09 |
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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.