KARISSA ANN NEIHOUSER (NPI# 1346708435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346708435 |
Entity Type | Individual |
Full Name | KARISSA ANN NEIHOUSER |
Credential | PT |
Practice Address |
2500 W Reynolds St Pontiac IL 61764-9774 |
Mailing Address |
17 Jasper Dr Morton IL 61550-1127 |
Practice Telephone | 8158422828 |
Practice Fax Number | 8158424912 |
Mailing Telephone | 3092294754 |
Enumeration Date | 2019-03-07 |
Last Update Date | 2019-03-07 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
070.023947 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
2500 W REYNOLDS ST |
City | PONTIAC |
State | IL |
Zip Code | 61764-9774 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790735421 | Saint James Hospital | Emergency Medicine | 2500 W Reynolds St, Pontiac, IL 61764-9774 | 2006-05-11 |
1003421660 | Emily Ruff | Occupational Therapist | 2500 W Reynolds St, Pontiac, IL 61764-9774 | 2020-09-10 |
1760012637 | Stacey M Merrill | Nurse Practitioner | 2500 W Reynolds St, Pontiac, IL 61764-9784 | 2020-01-20 |
1699325514 | Brittany Nicole Bursott | Nurse Practitioner | 2500 W Reynolds St, Pontiac, IL 61764-9774 | 2019-09-12 |
1912561960 | Tessa Claire Hayes | Nurse Practitioner | 2500 W Reynolds St, Pontiac, IL 61764-9774 | 2019-04-25 |
1659848612 | Melissa Horning | Specialist/Technologist | 2500 W Reynolds St, Pontiac, IL 61764-9774 | 2018-10-29 |
1497221840 | Allison Lynn Perkins | Occupational Therapist | 2500 W Reynolds St, Pontiac, IL 61764-9774 | 2018-10-23 |
1255818258 | Justin Ray Hayes | Registered Nurse | 2500 W Reynolds St, Pontiac, IL 61764-9774 | 2018-07-23 |
1083104137 | Nicole M. Jack | Physician Assistant | 2500 W Reynolds St, Pontiac, IL 61764 | 2018-05-15 |
1154828440 | Lorrie R. Harmon | Nurse Practitioner | 2500 W Reynolds St, Pontiac, IL 61764-9774 | 2018-04-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497165211 | Barbara Kay Browning | Counselor | 310 E. Torrance Ave, Pontiac, IL 61764 | 2014-05-01 |
1407287121 | Institute for Human Resources of Livingston County, Il | Community/Behavioral Health | 301 E Torrance Ave, Pontiac, IL 61764 | 2013-12-05 |
1982031241 | Annette G Franzen | Psychologist | 700 W Lincoln St # 406, Pontiac, IL 61764 | 2013-10-02 |
1871739185 | Woodridge of Ponitac LLC | Assisted Living Facility | 120 North Deerfield Road, Pontiac, IL 61764 | 2008-12-17 |
1861601171 | William Earl Hammond | Chiropractor | 210b Ladd, Pontiac, IL 61764 | 2007-05-22 |
1932259983 | Amy Duffy | Counselor | 210 W Water St Ste 1, Pontiac, IL 61764 | 2007-01-11 |
1326123340 | Highland Park Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 1034 W. Reynolds Street, Pontiac, IL 61764 | 2006-10-26 |
1205932977 | Gary Merl Leverton | Dentist | 518 West Madison St, Pontiac, IL 61764 | 2006-09-16 |
1891899886 | Robert E Heins | Family Medicine | 520 West Madison, Madison Street Clinic PC, Pontiac, IL 61764 | 2006-09-11 |
1710081708 | Kenneth N Jordan | Family Medicine | 520 West Madison Street, Madison Street Clinic PC, Pontiac, IL 61764 | 2006-09-11 |
Find all providers in zip 61764 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
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1154972719 | Antonio Marquez | Physical Therapist | 7425 Janes Ave Ste 200, Woodridge, IL 60517-2358 | 2019-09-25 |
1376198978 | Natalie N Ruebke | Physical Therapist | 251 Marketplace Dr # 2, Freeburg, IL 62243-4082 | 2019-08-09 |
1902360241 | Stephanie Lynne Burkhart | Physical Therapist | 12251 W 159th St, Homer Glen, IL 60491-7847 | 2019-01-30 |
1003388943 | Scoliosis Therapy Care and More LLC | Physical Therapist | 4n369 Booth Tarkington St, St Charles, IL 60175-7731 | 2018-12-17 |
1912478082 | Brandon Donnelly | Physical Therapist | 2200 Fort Jesse Rd Ste 230, Normal, IL 61761-6291 | 2018-12-16 |
1497251086 | John William Herbert | Physical Therapist | 1316 N Route 59, Naperville, IL 60563-4286 | 2018-04-03 |
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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.