MICAELA BRYAN


Address: 988 N Illinois Route 3, Waterloo, IL 62298-1059
Phone: 6189394444

MICAELA BRYAN (NPI# 1245881796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245881796
Entity Type Individual
Full Name MICAELA BRYAN
Credential RSA
Practice Address 988 N Illinois Route 3
Waterloo
IL 62298-1059
Practice Telephone 6189394444
Mailing Telephone 6189394444
Enumeration Date 2019-09-26
Last Update Date 2019-09-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225400000X Rehabilitation Practitioner Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Office Location

Street Address 988 N ILLINOIS ROUTE 3
City WATERLOO
State IL
Zip Code 62298-1059

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427059476 Melissa I. Harris Counselor 988 N Illinois Route 3, Waterloo, IL 62298-1000 2005-08-02
1104425826 Lindsey Maag Rehabilitation Practitioner 988 N Illinois Route 3, Waterloo, IL 62298-1059 2020-10-23
1124638564 Anneleyce Dunlop Case Manager/Care Coordinator 988 N Illinois Route 3, Waterloo, IL 62298-1059 2020-07-31
1609404367 Emma Schmidt Case Manager/Care Coordinator 988 N Illinois Route 3, Waterloo, IL 62298-1059 2020-03-30
1245868900 Kizzy Partee Rehabilitation Practitioner 988 N Illinois Route 3, Waterloo, IL 62298-1059 2020-03-30
1245863612 Daniel Valleroy Case Manager/Care Coordinator 988 N Illinois Route 3, Waterloo, IL 62298-1059 2020-02-13
1982237350 Thea Palermo Case Manager/Care Coordinator 988 N Illinois Route 3, Waterloo, IL 62298-1059 2020-02-13
1255963997 Kristen Harris Rehabilitation Practitioner 988 N Illinois Route 3, Waterloo, IL 62298-1059 2020-02-11
1013549765 Amanda Sehr Rehabilitation Practitioner 988 N Illinois Route 3, Waterloo, IL 62298-1059 2020-02-11
1467084111 Trisha Talamantes Rehabilitation Practitioner 988 N Illinois Route 3, Waterloo, IL 62298-1059 2020-02-11
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508471418 Waterloo Urgent Care Walk In Clinic Company Clinic/Center 901 Illinois Route 3, Waterloo, IL 62298 2020-09-09
1235624867 Las Davis Enterprises Hearing Instrument Specialist 911 State Rte 3, Waterloo, IL 62298 2018-06-26
1255727269 Anna Witges Counselor 988 Il-3, Waterloo, IL 62298 2015-04-07
1558766741 Sheri Buettner Counselor 988 Illinois Route 3, Waterloo, IL 62298 2014-10-30
1386050953 Jessica Liefer Counselor 988 N Illinois Rt 3, Waterloo, IL 62298 2014-07-03
1952729279 Orthodontic Associates of Columbia and Waterloo Dentist 224 Bradford Lane Suite B, Waterloo, IL 62298 2014-04-03
1588963961 Monroe County Surgical Center,llc Clinic/Center 501 Hamacher St, Waterloo, IL 62298 2011-03-24
1841523776 Waterloo Women's Health Nurse Practitioner 869 N. Illinois Rt 3, Waterloo, IL 62298 2009-09-10
1548444011 Marla Rae Smith Nurse Practitioner 869 North Illinois Rt 3, Waterloo, IL 62298 2007-12-20
1649464553 Clarkson Optometry Illinois PC Optometrist 204 Bradford Lane, Waterloo, IL 62298 2007-09-04
Find all providers in zip 62298

Taxonomy Information

Taxonomy Code 225400000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Rehabilitation Practitioner

Taxonomy Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104425826 Lindsey Maag Rehabilitation Practitioner 988 N Illinois Route 3, Waterloo, IL 62298-1059 2020-10-23
1245868900 Kizzy Partee Rehabilitation Practitioner 988 N Illinois Route 3, Waterloo, IL 62298-1059 2020-03-30
1255963997 Kristen Harris Rehabilitation Practitioner 988 N Illinois Route 3, Waterloo, IL 62298-1059 2020-02-11
1013549765 Amanda Sehr Rehabilitation Practitioner 988 N Illinois Route 3, Waterloo, IL 62298-1059 2020-02-11
1467084111 Trisha Talamantes Rehabilitation Practitioner 988 N Illinois Route 3, Waterloo, IL 62298-1059 2020-02-11
1093347742 Morgan Holt Rehabilitation Practitioner 988 N Illinois Route 3, Waterloo, IL 62298-1059 2020-02-11
1417593179 Katie Phelps Rehabilitation Practitioner 988 N Illinois Route 3, Waterloo, IL 62298-1059 2019-11-18
1770129439 Abree Lindley Rehabilitation Practitioner 988 N Illinois Route 3, Waterloo, IL 62298-1059 2019-11-18
1720620875 Brooke Hartmann Rehabilitation Practitioner 988 N Illinois Route 3, Waterloo, IL 62298-1059 2019-10-10
1003467622 Bonnie Lewis Rehabilitation Practitioner 988 N Illinois Route 3, Waterloo, IL 62298-1059 2019-09-25
Find all providers in WATERLOO

Competitor

Search similar providers

City WATERLOO
Zip Code 62298

Improve Information

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Dataset Information

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.

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