GRPC WELLNESS CLINIC SC (NPI# 1366861155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366861155 |
| Entity Type | Organization |
| Organization Name | GRPC WELLNESS CLINIC SC |
| Practice Address |
1105 E Harris Ave Greenville IL 62246-2221 |
| Practice Telephone | 6186644600 |
| Practice Fax Number | 6186642136 |
| Mailing Telephone | 6186644600 |
| Mailing Fax Number | 6186642136 |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-04-09 |
| Authorized Official Name | DR. MATTHEW R CHENAULT (OWNER/CEO) |
| Authorized Official Telephone | 6186644600 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
038.010373 | IL | Chiropractic Providers |
| Y | 208100000X | Physical Medicine & Rehabilitation | 038.010373 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1105 E HARRIS AVE |
| City | GREENVILLE |
| State | IL |
| Zip Code | 62246-2221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912093139 | Kimberly Nicole Mabry | Massage Therapist | 1105 E Harris Ave, Greenville, IL 62246-2221 | 2006-10-05 |
| 1629197066 | Greenville Rehab & Pain Clinic Sc | Physical Therapist | 1105 E Harris Ave, Greenville, IL 62246-2221 | 2007-03-28 |
| 1215027438 | Matthew Ray Chenault | Chiropractor | 1105 E Harris Ave, Greenville, IL 62246-2221 | 2006-10-16 |
| 1669568051 | Larry Dean Bruno | Chiropractor | 1105 E Harris Ave, Greenville, IL 62246-2221 | 2006-10-05 |
| 1427144799 | Tammy Sue Tulacro | Physical Therapist | 1105 E Harris Ave, Greenville, IL 62246-2221 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245759331 | Barbara T Goodson | Speech-Language Pathologist | 1004 Savannah Way, Greenville, IL 62246 | 2017-09-11 |
| 1023542982 | Patrick Sears, Psy.d. | Psychologist | 100 Us Highway 40, Fci Greenville, Federal Bureau of Prisons, Greenville, IL 62246 | 2017-04-18 |
| 1760658926 | Bond County Senior Citizens Center | Non-emergency Medical Transport (VAN) | 305 S Third St, Greenville, IL 62246 | 2008-05-07 |
| 1649463563 | Billy Lee Viviano | Chiropractor | 218 A North Second St, Greenville, IL 62246 | 2007-08-23 |
| 1265658579 | Debra Ann Morris | Advanced Practice Midwife | 150 Healthcare Dr., Suite A, Greenville, IL 62246 | 2007-04-17 |
| 1073642294 | Gregory E Pennington | Social Worker | 200 Health Care Drive, Wellness Link Greenville Regional Hospital, Greenville, IL 62246 | 2007-03-05 |
| 1013925718 | Raymond J Ryan Jr. | Specialist | 200 Healthcare Drive, Ste 1559, Greenville, IL 62246 | 2006-08-04 |
| 1174508477 | James R Goggin | Family Medicine | 308 West College Avenue, Greenville, IL 62246 | 2005-12-08 |
| 1336123165 | Andrew S Goggin | Emergency Medicine | 308 W College Ave, Greenville, IL 62246 | 2005-12-05 |
| 1710410816 | Fayette County Hospital District | Clinic/Center | 308 W College Ave, Greenville, IL 62246 | 2017-04-05 |
| Find all providers in zip 62246 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003324815 | Palmetto Physical Medicine | Physical Medicine & Rehabilitation | 300 Regent Park Ct, Greenville, SC 29607-6547 | 2018-01-15 |
| 1033657390 | Marissa Thomas | Physical Medicine & Rehabilitation | 2425 W Washington St Ste B, Greenville, MI 48838-8259 | 2017-02-07 |
| 1720443195 | Arc Chiropractic Physicians | Physical Medicine & Rehabilitation | 2131 Woodruff Rd Ste 1000, Greenville, SC 29607-5934 | 2015-12-29 |
| 1366750291 | St Francis Physician Services Inc | Physical Medicine & Rehabilitation | 131 Commonwealth Dr Ste 110, Greenville, SC 29615-4838 | 2010-09-14 |
| 1255510509 | Ryan Rosen | Physical Medicine & Rehabilitation | 1005 Grove Rd., Greenville, SC 29605-4630 | 2007-11-02 |
| 1124246566 | John W. Norbury IIi | Physical Medicine & Rehabilitation | 604 Medical Drive, Ecu Physicians: Rehabilitation Physician Center, Greenville, NC 27834 | 2007-04-23 |
| 1275687865 | Alexandru Costin Dinu | Physical Medicine & Rehabilitation | 2010 W Arlington Blvd, Greenville, NC 27834-5779 | 2007-01-22 |
| 1528137825 | Ulrich Karl Alsentzer | Physical Medicine & Rehabilitation | 3107 Gordon Dr, Greenville, NC 27834-4923 | 2006-11-08 |
| 1902819600 | Brian Paul Knight | Physical Medicine & Rehabilitation | 515 Buncombe St, Greenville, SC 29601-1905 | 2006-08-14 |
| 1639199201 | Melissa K Richardson | Physical Medicine & Rehabilitation | 131 Commonwealth Dr Ste 100, Greenville, SC 29615-4838 | 2006-07-19 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 62246 |
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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.