EDGEBROOK PHYSICAL THERAPY, INC.


Address: 1643 N Alpine Rd, Rockford, IL 61107-1462
Phone: 8152896942

EDGEBROOK PHYSICAL THERAPY, INC. (NPI# 1477923886) 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) 1477923886
Entity Type Organization
Organization Name EDGEBROOK PHYSICAL THERAPY, INC.
Other Organization Name CORA PHYSICAL THERAPY - EDGEBROOK
Practice Address 1643 N Alpine Rd
Rockford
IL 61107-1462
Mailing Address 1110 Shawnee Rd
Lima
OH 45805-3529
Practice Telephone 8152896942
Practice Fax Number 8155471024
Mailing Telephone 4192216717
Mailing Fax Number 4192220507
Enumeration Date 2015-09-28
Last Update Date 2019-10-02
Authorized Official Name MR. BRAD C. ROUSH (EXECUTIVE VICE PRESIDENT)
Authorized Official Telephone 4192216712
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0400X Clinic/Center
Specialization: Rehabilitation
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
CORA Physical Therapy - Edgebrook Doing Business As Name - Organization

Office Location

Street Address 1643 N ALPINE RD
City ROCKFORD
State IL
Zip Code 61107-1462

Providers in the same location

NPI Name Taxonomy Address Enumeration
1336679653 Chelsea Jean Falconer Physical Therapist 1643 N Alpine Rd, Rockford, IL 61107-1462 2017-06-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1356952139 Jessica Marie Tamayo Fernandez Pharmacist 1145 Alpine Rd, Rockford, IL 61107 2020-08-13
1467092379 Unknown Safa Fatima Student in an Organized Health Care Education/Training Program Mercyhealth Mulford Clinic, 5970 Churchview Drive, Rockford, IL 61107 2020-01-08
1194367912 Matt J Kriebs Nurse Practitioner 1235 N Mulford Rd Suite 103, Rockford, IL 61107 2019-10-14
1265962336 Mary Golembeck Nurse Practitioner 7290 Argus Dr, Rockford, IL 61107 2017-06-12
1831644749 Tessa Lee Occupational Therapist 3422 Lauderdale Ln, Rockford, IL 61107 2016-08-20
1942626965 Elevated Health Essentials, LLC Chiropractor 124 N Water St Ste 204e, Rockford, IL 61107 2014-03-14
1093139909 Swedishamerican Hospital Surgery 1639 N Alpine Rd Ste 400, Rockford, IL 61107 2014-02-12
1346676582 Christopher Anthony Ziganto Pharmacist 494 Bienterra Trail #2, Rockford, IL 61107 2013-09-19
1023358272 Lavanya Durairajan Physical Therapist 7358 Shiligton Dr, Rockford, IL 61107 2013-02-26
1851523146 Great Smiles of Rockford Durable Medical Equipment & Medical Supplies 780 N. Mulfrord Road, Rockford, IL 61107 2009-08-20
Find all providers in zip 61107

Taxonomy Information

Taxonomy Code 261QR0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558538967 Willows Health Center Clinic/Center 4143 Albright Lane, Rockford, IL 61103 2008-05-14
1912252651 Advanced Therapy Solutions Clinic/Center 7264 Argus Dr, Rockford, IL 61107-5837 2012-07-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1386243020 Select Physical Therapy Holdings, Inc. Clinic/Center 2500 Williamson County Pkwy, Suite B, Marion, IL 62959-5271 2020-10-23
1336754233 Rci (wrs), LLC. Clinic/Center 5221-23 North Broadway, Chicago, IL 60640 2020-09-09
1093320855 Rci (wrs), LLC. Clinic/Center 17 West 580 Butterfield Road, Oakbrook Terrace, IL 60181 2020-09-09
1558975706 Rci (wrs), LLC. Clinic/Center 370 Bank Dr, Mchenry, IL 60050-0506 2020-09-04
1588278741 Rci (wrs), LLC. Clinic/Center 1151 S State St, Chicago, IL 60605-2304 2020-09-04
1487268553 Rci (wrs), LLC. Clinic/Center 15 Tower Ct Ste 235, Gurnee, IL 60031-3354 2020-09-04
1285248351 Rci (wrs), LLC. Clinic/Center 884 S Rand Rd Ste A, Lake Zurich, IL 60047-3412 2020-09-04
1295349355 Rci (wrs), LLC. Clinic/Center 140 N Addison Ave Fl 2, Elmhurst, IL 60126-2810 2020-09-04
1043824287 Rci (wrs), LLC. Clinic/Center 1525 E 55th St Ste 305, Chicago, IL 60615-5576 2020-09-04
1396359469 Rci (wrs), LLC. Clinic/Center 939 W North Ave Ste 300, Chicago, IL 60642-7139 2020-09-04
Find all providers with the same taxonomy

Competitor

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City ROCKFORD
Zip Code 61107

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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