ROCK VALLEY PHYSICAL THERAPY CENTER (NPI# 1245554377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245554377 |
| Entity Type | Organization |
| Organization Name | ROCK VALLEY PHYSICAL THERAPY CENTER |
| Practice Address |
9901 N Knoxville Avenue Suite D Peoria IL 61615 |
| Mailing Address |
850 43rd Ave Suite 100 Moline IL 61265-8401 |
| Practice Telephone | 3092431989 |
| Practice Fax Number | 3092438138 |
| Mailing Telephone | 3097432070 |
| Mailing Fax Number | 3097432073 |
| Enumeration Date | 2010-03-18 |
| Last Update Date | 2010-10-13 |
| Authorized Official Name | RANDY E BOLDT (CFO) |
| Authorized Official Telephone | 3097432070 |
| Authorized Official Credential | P.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| Y | 225100000X | Physical Therapist | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | GROUP BILLING # FOR O.T. | 555650 | 01 |
| IL | GROUP BILLING # FOR P.T. | 555640 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891171047 | Rock Valley Physical Therapy Center | Occupational Therapist | 5401 N Knoxville Ave Ste 107, Peoria, IL 61614-5093 | 2015-08-10 |
| 1891005252 | Rock Valley Physical Therapy Center | Occupational Therapist | 1905 Ingersoll, Suite 104, Des Moines, IA 50309-3305 | 2010-10-19 |
| 1558507806 | Rock Valley Physical Therapy Center | Occupational Therapist | 212 W Van Dorn St, Ste D, Polk City, IA 50226 | 2008-12-16 |
| 1679730360 | Rock Valley Physical Therapy Center | Occupational Therapist | 241 S State St, Denver, IA 50622-7711 | 2008-05-20 |
| 1871701599 | Rock Valley Physical Therapy Center | Occupational Therapist | 3605 University Dr, Suite 2, Muscatine, IA 52761-9607 | 2007-05-18 |
| 1356806285 | Rock Valley Physical Therapy Center | Occupational Therapist | 1905 Ingersoll Ave Ste 104, Des Moines, IA 50309-3305 | 2019-02-05 |
| 1780966614 | Rock Valley Physical Therapy Center | Occupational Therapist | 2635 Lincoln Way, Suite C, Clinton, IA 52732-7203 | 2011-09-16 |
| 1952683468 | Rock Valley Physical Therapy Center | Occupational Therapist | 1121 N 5th St, Savanna, IL 61074-9732 | 2011-09-12 |
| 1366724874 | Rock Valley Physical Therapy Center | Occupational Therapist | 931 13th Ave N, Clinton, IA 52732-5072 | 2011-09-12 |
| 1336421841 | Rock Valley Physical Therapy Center | Occupational Therapist | 635 E Lincolnway, Morrison, IL 61270-2963 | 2011-09-12 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | ROCK VALLEY PHYSICAL THERAPY CENTER, A PROFESSIONAL CORPORATION | 850 43rd Ave, Ste 100, Moline, IL 61265-8401 |
| Iowa Business Entities | ROCK VALLEY PHYSICAL THERAPY CENTER, A PROFESSIONAL CORPORATION. | 850 43rd Ave, Ste 100, Moline, IL 61265 |
| Street Address |
9901 N KNOXVILLE AVENUE SUITE D |
| City | PEORIA |
| State | IL |
| Zip Code | 61615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627906 | Lance Jay Bucher | Occupational Therapist | 8600 Il-91, Peoria, IL 61615 | 2020-10-22 |
| 1093327496 | Angela Mitchell | Speech-Language Pathologist | 3903 W Ridgeview Dr, Peoria, IL 61615 | 2020-08-18 |
| 1578110680 | Emily E Buenting | Audiologist | 8600 Il Route 91, Suite 300, Peoria, IL 61615 | 2019-08-22 |
| 1730655572 | Sylwia M. Budzik | Physician Assistant | 8600 Illinois Rt. 91, Suite 300, Peoria, IL 61615 | 2018-10-19 |
| 1487169207 | Heather Hart | Registered Nurse | 9016 N. Scrimshaw Dr. Apt 104, Peoria, IL 61615 | 2017-12-04 |
| 1528586849 | Leanne Runyon | Speech-Language Pathologist | 10723 Collett Dr., Peoria, IL 61615 | 2017-09-07 |
| 1467974196 | Elizabeth A Mcleod | Nurse Practitioner | 8600 Illinois Route 91, Suite 130, Peoria, IL 61615 | 2017-07-14 |
| 1790223022 | Janet Warner | Counselor | 8914 North Prarie Court, Peoria, IL 61615 | 2017-02-07 |
| 1437524022 | Brooke Bisping | Dietitian, Registered | 7610 North Orange Prairie Road, Peoria, IL 61615 | 2015-12-08 |
| 1003292111 | Crystal Ann Casper | Dietitian, Registered | 7610 N Orange Prarie Road, Peoria, IL 61615 | 2015-07-31 |
| Find all providers in zip 61615 | ||||
| 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 |
|---|---|---|---|---|
| 1235743642 | Peter D Chong IIi | Physical Therapist | 1201 W Northmoor Rd, Peoria, IL 61614-3463 | 2020-09-02 |
| 1588277297 | Valerie Jordan Stone | Physical Therapist | 25101 N Lake Pleasant Pkwy # B-1340, Peoria, AZ 85383-1386 | 2020-08-24 |
| 1336758218 | Jacob Raecker | Physical Therapist | 13127 N 91st Ln, Peoria, AZ 85381-8223 | 2020-07-28 |
| 1619586799 | Elizabeth Nicole Murzyn | Physical Therapist | 18441 N 87th Ave, Peoria, AZ 85382-8532 | 2020-07-24 |
| 1396371241 | Susan M Baker | Physical Therapist | 22489 N 102nd Ln, Peoria, AZ 85383-2661 | 2020-03-22 |
| 1366081002 | Martha Sebolt | Physical Therapist | 1230 E Forrest Hill Ave, Peoria, IL 61603-1530 | 2019-12-28 |
| 1295381275 | Kayla Jean Bumpus | Physical Therapist | 411 Hamilton Blvd Ste 1908, Peoria, IL 61602-1146 | 2019-08-14 |
| 1073072765 | Darby Shipman | Physical Therapist | 8685 W. Union Hills Drive, Peoria, AZ 85382 | 2019-03-13 |
| 1598230948 | Brianna Fullenkamp | Physical Therapist | 6809 N Knoxville Ave, Peoria, IL 61614-2812 | 2018-10-11 |
| 1245718899 | Lindsey Marie Hoover | Physical Therapist | 9139 W Thunderbird Rd Ste 225, Peoria, AZ 85381-4913 | 2018-08-04 |
| Find all providers in PEORIA | ||||
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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.