MYOFASCIAL PHYSICAL THERAPY, LLC (NPI# 1376869727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376869727 |
Entity Type | Organization |
Organization Name | MYOFASCIAL PHYSICAL THERAPY, LLC |
Practice Address |
421 S Mulford Rd Rockford IL 61108-3009 |
Practice Telephone | 8159795295 |
Enumeration Date | 2010-04-09 |
Last Update Date | 2010-04-09 |
Authorized Official Name | MR. CARL MARK PATRNCHAK (OWNER-PHYSICAL THERAPIST) |
Authorized Official Telephone | 8159795295 |
Authorized Official Credential | PT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
070.002325 | IL | Ambulatory Health Care Facilities |
Street Address |
421 S MULFORD RD |
City | ROCKFORD |
State | IL |
Zip Code | 61108-3009 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841473014 | Myofascial Therapy Center At Rockford, LLC | Physical Therapist | 421 S Mulford Rd, Rockford, IL 61108-3009 | 2007-12-11 |
1922241819 | Marla Monge | Massage Therapist | 421 S Mulford Rd, Suite 200, Rockford, IL 61108-3009 | 2009-04-08 |
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---|---|---|---|---|
1952862617 | Isr Enterprises, Inc. | Homemaker | 129 Phelps Ave, Bldg 10, Ste 1008, Rockford, IL 61108 | 2019-03-26 |
1003306465 | Adrienne Nicole Black | Behavior Technician | 519 Woodland Dr, Woodland Dr, Rockford, IL 61108 | 2018-05-11 |
1184085201 | Integrative Healing Center, LLC | Clinic/Center | 6019 Fincham Drive, Rockford, IL 61108 | 2016-03-17 |
1730547936 | Perryville Dentist PC | Dentist | 845 S Perryville Rd, Unit 119, Rockford, IL 61108 | 2016-02-02 |
1023489853 | Nicole Ping Ticknor | Counselor | 433 S. Phelps Ave., Suite 2, Rockford, IL 61108 | 2015-10-20 |
1275940348 | Northwest Home Care, Inc. | Home Health | 1437 S. Bell School Road, Suite 7, Rockford, IL 61108 | 2014-07-21 |
1487072922 | Alecia Greenlee | Psychiatry & Neurology | Rosecrance Community Mental Health, 3815 Harrison Avenue, Rockford, IL 61108 | 2014-04-02 |
1871925446 | Maria Laura Gustafson | Interpreter | 3208 Wesleyan Ave., Rockford, IL 61108 | 2013-08-06 |
1346582822 | Joseph Peevey | Pathology | 5666 E State Street, Department of Pathology, Rockford, IL 61108 | 2013-03-21 |
1134466923 | James Henry Peck | Hearing Instrument Specialist | 2424 Charles St, Rockford, IL 61108 | 2013-01-14 |
Find all providers in zip 61108 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
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---|---|---|---|---|
1487087300 | Life Beyond Barriers Rehabilitation | Clinic/Center | 521 E Division St, Rockford, MI 49341-1376 | 2013-08-14 |
1487804324 | Petalber Therapy Services | Clinic/Center | 7264 Argus Drive, Rockford, IL 61107-5837 | 2008-09-29 |
1881626299 | Apt Services LLC | Clinic/Center | 4108 N Port Dr, Rockford, IL 61109-7314 | 2006-07-07 |
1346657673 | Integrated Therapy Solutions, LLC | Clinic/Center | 251 Northland Dr Ne, Rockford, MI 49341-1041 | 2014-07-18 |
1184988735 | Motivate Health Inc | Clinic/Center | 3057 N Perryville Rd, Rockford, IL 61114-8016 | 2012-06-28 |
1760766794 | Genesis Health Care | Clinic/Center | 7130 Crimson Ridge Dr, Rockford, IL 61107-6222 | 2011-10-10 |
1427156819 | Med Plus Neck and Back Pain Center | Clinic/Center | 6080 Elaine Drive, Med Plus, Rockford, IL 61108 | 2006-09-20 |
1952311706 | Morsay Physical Medicine Center Ltd. | Clinic/Center | 4340 Morsay Dr, Rockford, IL 61107-4877 | 2006-08-08 |
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1487253464 | Chimera Health Pllc | Clinic/Center | 525 N Ada St Apt 10, Chicago, IL 60642-6486 | 2020-10-21 |
1528666468 | Chicago Pelvic Health and Wellness, LLC | Clinic/Center | 1020 E Ogden Ave Ste 309, Naperville, IL 60563-8611 | 2020-10-13 |
1548876063 | Midwest Orthopaedics At Rush, LLC | Clinic/Center | 1000 Commerce Court, Suite 101, Bensenville, IL 60106 | 2020-09-21 |
1518573963 | Better Play Performance & Rehab Pllc | Clinic/Center | 1201 Waters Edge Rd, Champaign, IL 61822-8101 | 2020-09-21 |
1548876329 | Midwest Orthopaedics At Rush, LLC | Clinic/Center | 17130 Prime Blvd Ste 101, Lockport, IL 60441-1311 | 2020-09-17 |
1124631676 | Leena Bird Physical Therapy Pllc | Clinic/Center | 400 Prairie Knoll Dr, Naperville, IL 60565-4154 | 2020-08-25 |
1831702232 | Pararmount Physical Therapy LLC | Clinic/Center | 2960 Artesian Rd Ste 152, Naperville, IL 60564-4876 | 2020-08-25 |
1487263851 | Priority You Physical Therapy and Wellness Pllc | Clinic/Center | 2101 Alpine Way, Plainfield, IL 60586-5079 | 2020-07-30 |
1093324345 | Motogenix Concierge Physical Therapy | Clinic/Center | 111 S Morgan St Apt 620, Chicago, IL 60607-2732 | 2020-07-23 |
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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.