MR. BLAIR THOMAS GORSUCH (NPI# 1215367750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1215367750 |
Entity Type | Individual |
Full Name | MR. BLAIR THOMAS GORSUCH |
Credential | M.S. |
Practice Address |
6501 N Sheridan Rd Peoria IL 61614-2932 |
Practice Telephone | 3096214106 |
Practice Fax Number | 3096214194 |
Mailing Telephone | 3096214106 |
Mailing Fax Number | 3096214194 |
Enumeration Date | 2013-11-20 |
Last Update Date | 2013-11-20 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 224Y00000X | Clinical Exercise Physiologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
6501 N SHERIDAN RD |
City | PEORIA |
State | IL |
Zip Code | 61614-2932 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851374557 | Frank K Arnold | Physical Therapist | 6501 N Sheridan Rd, Peoria, IL 61614-2932 | 2005-11-28 |
1003377441 | Alexis Sands | Speech-Language Pathologist | 6501 N Sheridan Rd, Peoria, IL 61614-2932 | 2019-03-28 |
1134687056 | Brooke Kitts | Physical Therapist | 6501 N Sheridan Rd, Peoria, IL 61614-2932 | 2019-03-10 |
1467818393 | Jennifer E Mcgarry | Speech-Language Pathologist | 6501 N Sheridan Rd, Peoria, IL 61614-2932 | 2016-01-07 |
1740645910 | Brittan Ashley Rooney | Physical Therapist | 6501 N Sheridan Rd, Peoria, IL 61614-2932 | 2015-12-15 |
1295121549 | Jenny Shimon | Specialist | 6501 N Sheridan Rd, Peoria, IL 61614-2932 | 2015-04-14 |
1487049995 | Amy Ginzel | Registered Nurse | 6501 N Sheridan Rd, Peoria, IL 61614-2932 | 2015-04-01 |
1205224029 | Mary Peifer | Massage Therapist | 6501 N Sheridan Rd, Peoria, IL 61614-2932 | 2014-12-31 |
1700284254 | Jacqueline Mccalister | Physical Therapist | 6501 N Sheridan Rd, Peoria, IL 61614-2932 | 2014-12-16 |
1194123836 | Jane A. Golowski | Registered Nurse | 6501 N Sheridan Rd, Peoria, IL 61614-2932 | 2014-12-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548818511 | Christine Svoboda | Social Worker | 6919 N Knoxville Ave Ste 100 and 202, Peoria, IL 61614 | 2019-09-03 |
1639649007 | Kathy Karouzos Counseling, LLC | Clinic/Center | 330 W. Ivy Ln., Peoria, IL 61614 | 2018-11-28 |
1205312790 | Kathleen Marie Hendricks | Nurse Practitioner | 2809 W Willow Knolls Dr, Peoria, IL 61614 | 2018-07-17 |
1629563937 | Mary Elizabeth Cunningham | Counselor | 6219 N. Eldorado Dr., Peoria, IL 61614 | 2018-06-28 |
1861937955 | Angela Gilles | Social Worker | 6919 N Knoxville Ave Ste 100, Peoria, IL 61614 | 2016-12-27 |
1467994897 | Melissa Saxsma | Specialist | 5009 N Executive Dr, Peoria, IL 61614 | 2016-11-16 |
1902258874 | Rashid Plastic Surgery, LLC | Plastic Surgery | 804 W Trailcreek Drive, Peoria, IL 61614 | 2016-07-05 |
1215313143 | Melissa Lynn Phelan | Nurse Practitioner | 122 E Morningside Dr, Peoria, IL 61614 | 2015-08-03 |
1811380165 | All Ways Caring Services, Inc. | In Home Supportive Care | 6919 N Knoxville Ave, Suite 102, Peoria, IL 61614 | 2015-03-11 |
1568875920 | Schuler & Arkwell Orthodontic Partnership | Dentist | 2425 Cornerstone Ct. Ste. A, Peoria, IL 61614 | 2014-06-03 |
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Taxonomy Code | 224Y00000X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Clinical Exercise Physiologist |
A Clinical Exercise Physiologist is a health care professional who is trained to work with patients with chronic disease where exercise training has been shown to be of therapeutic benefit, including but not limited to cardiovascular and pulmonary disease, and metabolic disorders. |
Notes: Source: What is a Clinical Exercise Physiologist? Clinical Exercise Physiology Association (CEPA), CEPA Executive Board, 2008 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437786704 | Christopher Fuller | Clinical Exercise Physiologist | 1919 S Wolf Rd Apt 213, Hillside, IL 60162-2128 | 2020-03-25 |
1629551312 | Tanner Shultz | Clinical Exercise Physiologist | 27w157 Walnut Dr, Winfield, IL 60190-2051 | 2018-09-10 |
1033521968 | James Towns | Clinical Exercise Physiologist | 9247 S. Wentworth, Chicago, IL 60620 | 2014-05-27 |
1023445269 | Russell Koenig | Clinical Exercise Physiologist | 88 W Schiller St Apt 1601, Chicago, IL 60610-2041 | 2013-10-02 |
1629410063 | Steven Mauk | Clinical Exercise Physiologist | 88 W Schiller St, Chicago, IL 60610-4966 | 2013-07-26 |
1902240781 | Cindy R Hooper | Clinical Exercise Physiologist | 1224 Sunnymeade Trl, Dekalb, IL 60115-2358 | 2013-04-23 |
1740532589 | Reginald Anderson | Clinical Exercise Physiologist | 328 Peterson Rd, Libertyville, IL 60048-1008 | 2012-10-03 |
1639601198 | Alex Colianni | Clinical Exercise Physiologist | 333 N Michigan Ave Ste 1900, Chicago, IL 60601-3994 | 2017-04-03 |
1437693439 | Scott Brunning | Clinical Exercise Physiologist | 123 N Wacker Dr Ste 1250, Chicago, IL 60606-1911 | 2016-12-09 |
1578956975 | Chris Scott Wellness, LLC | Clinical Exercise Physiologist | 1752 Windsor Rd Ste 202, Loves Park, IL 61111-4276 | 2015-03-09 |
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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.