RACHEL PETERSON (NPI# 1629682471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629682471 |
| Entity Type | Individual |
| Full Name | RACHEL PETERSON |
| Credential | PT |
| Practice Address |
510 Lincoln Dr Herrin IL 62948-6334 |
| Practice Telephone | 6189976800 |
| Practice Fax Number | 6189971187 |
| Mailing Telephone | 6189976800 |
| Mailing Fax Number | 6189971187 |
| Enumeration Date | 2020-08-31 |
| Last Update Date | 2020-09-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 070025298 | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
070025298 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316418304 | Rachel Kristine Peterson | Physician Assistant | 26 Aloysia, Rsm, CA 92688-1338 | 2018-12-17 |
| 1285146621 | Rachel Ann Peterson | Dentist | 131 Ridge Rd Ste 2n, Munster, IN 46321-1567 | 2017-10-25 |
| 1447615588 | Rachel Peterson | Internal Medicine | 855 Third Ave, Chula Vista, CA 91911-1354 | 2015-12-16 |
| 1699154005 | Rachel Peterson | Speech-Language Pathologist | 2740 Pleasant Grove Rd, Laurel, MS 39443 | 2015-05-19 |
| 1225423221 | Rachel Peterson | Dental Hygienist | 833 S 9th Ave, Broken Bow, NE 68822-2411 | 2015-04-06 |
| 1366719510 | Rachel April Peterson | Social Worker | 82 Amber Ln, Mcminnville, TN 37110-5357 | 2011-11-16 |
| 1609830058 | Rachel Peterson | Social Worker | 7220 Wellington Dr, Knoxville, TN 37919-5955 | 2006-04-13 |
| 1700493277 | Rachel Elizabeth Peterson | Behavior Technician | 750 Essington Rd, Joliet, IL 60435-4912 | 2020-09-28 |
| 1770126864 | Rachel Nicole Peterson | Physician Assistant | 5330 E Stop 11 Rd, Indianapolis, IN 46237-6345 | 2019-10-22 |
| 1922649706 | Rachel Peterson | Clinical Neuropsychologist | 707 N Broadway, Baltimore, MD 21205-1832 | 2019-10-03 |
| Street Address |
510 LINCOLN DR |
| City | HERRIN |
| State | IL |
| Zip Code | 62948-6334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023001377 | Southern Illinois Orthopedic Center,llc | Clinic/Center | 510 Lincoln Dr, Herrin, IL 62948-6334 | 2005-08-23 |
| 1679119572 | Marcia Skinner | Physical Therapy Assistant | 510 Lincoln Dr, Herrin, IL 62948-6334 | 2019-11-26 |
| 1790321602 | Braden Reeves | Physical Therapy Assistant | 510 Lincoln Dr, Herrin, IL 62948-6334 | 2019-11-26 |
| 1508402652 | Joshua Sheldon | Physical Therapy Assistant | 510 Lincoln Dr, Herrin, IL 62948-6334 | 2019-11-25 |
| 1801432968 | Sydney Allen | Physical Therapy Assistant | 510 Lincoln Dr, Herrin, IL 62948-6334 | 2019-11-25 |
| 1487290532 | Michelle Reed | Occupational Therapy Assistant | 510 Lincoln Dr, Herrin, IL 62948-6334 | 2019-11-25 |
| 1689235715 | Michelle Steh | Nurse Practitioner | 510 Lincoln Dr, Herrin, IL 62948-6334 | 2019-06-28 |
| 1427576180 | Amelie H Wilson | Physical Therapist | 510 Lincoln Dr, Herrin, IL 62948-6334 | 2017-09-01 |
| 1790238160 | Kali Jo Moe | Nurse Practitioner | 510 Lincoln Dr, Herrin, IL 62948-6334 | 2016-08-02 |
| 1336555051 | Shannon Waldon | Specialist/Technologist, Other | 510 Lincoln Dr, Herrin, IL 62948-6334 | 2014-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215307590 | Carmelito Miralles Caronongan | Pediatrics | 120 S. 11th St., Herrin, IL 62948 | 2015-09-30 |
| 1073995684 | Motaz R Wraikat | Preventive Medicine | 315 S 13th St Ste 3, Herrin, IL 62948 | 2015-06-19 |
| 1639427933 | Salim Hosein | Surgery | 317 S 14th St Ste 1, Herrin, IL 62948 | 2012-08-17 |
| 1962780288 | Pooja Sareen | Internal Medicine | 3024 S Park Avenue, Herrin, IL 62948 | 2011-08-03 |
| 1235459918 | Timoteo Castro Md & Josefina D. Castro Md Ltd | Family Medicine | 321 South 13st St., Herrin, IL 62948 | 2010-06-04 |
| 1457501926 | Don Cassidy Arnold II | Urology | 220 S Park Ave Fl 2, Herrin, IL 62948 | 2008-09-22 |
| 1306094560 | Karl Keith Mitchener | Speech-Language Pathologist | 1901 N 13th Street, Herrin, IL 62948 | 2008-08-29 |
| 1457509705 | Kathryn Marie Bordenet-jines | Occupational Therapy Assistant | 1901 N. 13th, Herrin, IL 62948 | 2008-08-28 |
| 1417105776 | Cheryl Lynn Matic | Occupational Therapy Assistant | 1901 N. 13th St., Herrin, IL 62948 | 2008-08-28 |
| 1174771422 | Mary Frances Graham | Physical Therapy Assistant | 1901 N. 13th Street, Herrin, IL 62948 | 2008-08-28 |
| Find all providers in zip 62948 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740455732 | Mallori Jo Wilson | Physical Therapist | 14341 Allen Rd, Herrin, IL 62948-6446 | 2008-04-29 |
| 1164537783 | Pamela Blankenship Hunter | Physical Therapist | 510 Lincoln Ave, Southern Orthopedic Associates Sc, Herrin, IL 62948 | 2006-08-21 |
| 1003880584 | Brian Shay Wiggs | Physical Therapist | 1009 Naples Dr, Herrin, IL 62948-4438 | 2006-02-14 |
| 1174131015 | Amabelle Estoque | Physical Therapist | 201 S 14th St, Herrin, IL 62948-3631 | 2020-07-16 |
| 1033727938 | Joseph H Painter | Physical Therapist | 201 S 14th St, Herrin, IL 62948-3631 | 2020-07-16 |
| 1740816388 | Joana Caldeo Garcia | Physical Therapist | 1901 N 13th St, Herrin, IL 62948-2839 | 2020-03-16 |
| 1891257325 | Betsy Putbrese | Physical Therapist | 201 S 14th St, Herrin, IL 62948-3631 | 2019-04-03 |
| 1659890069 | Nicole L Cheek | Physical Therapist | 510 Lincoln Drive, Herrin, IL 62901 | 2017-09-18 |
| 1427576180 | Amelie H Wilson | Physical Therapist | 510 Lincoln Dr, Herrin, IL 62948-6334 | 2017-09-01 |
| 1578923660 | Kaily Marie Palmer | Physical Therapist | 510 Lincoln Drive, Herrin, IL 62948 | 2016-03-02 |
| Find all providers in HERRIN | ||||
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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.