EMPOWERME REHABILITATION ILLINOIS LLC (NPI# 1679098263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679098263 |
| Entity Type | Organization |
| Organization Name | EMPOWERME REHABILITATION ILLINOIS LLC |
| Practice Address |
429 S Main St Shiloh IL 62269-3080 |
| Mailing Address |
300 Hunter Ave Ste 200 Saint Louis MO 63124-2328 |
| Practice Telephone | 3149250880 |
| Mailing Telephone | 3149250880 |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2019-04-29 |
| Authorized Official Name | DAVID CHURCH (VICE P OF FINANCE & OPERATIONS) |
| Authorized Official Telephone | 1869725228 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225XG0600X |
Occupational Therapist Specialization: Gerontology |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2225 W Morton Ave, Jacksonville, IL 626502626 | 3149250880 | |
| 7108 Marine Rd, Edwardsville, IL 620254282 | 3144857979 | |
| 1207 Vandalia St, Collinsville, IL 622344092 | 3149250880 | |
| 13887 Progress Dr, Breese, IL 622303661 | 3149250880 | |
| 220 Field Crossing Dr, Highland, IL 622493896 | 3149250880 | |
| 3333 75th St, Woodridge, IL 605172730 | 3149250880 | |
| 211 N Market St, Sparta, IL 622862081 | 3149250880 | |
| 518 Legacy Dr, Waterloo, IL 622981706 | 3149250880 |
| Street Address |
429 S MAIN ST |
| City | SHILOH |
| State | IL |
| Zip Code | 62269-3080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265940456 | Empowerme Rehabilitation Il Agency, LLC | Occupational Therapist | 429 S Main St, Shiloh, IL 62269-3080 | 2018-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648155 | Kayla Revermann | Pharmacist | 1350 W Us Highway 50, Pharmacy, O Fallon, IL 62269 | 2020-10-30 |
| 1942814272 | Ashley Monique Gibson | Behavior Technician | Eagle Center, Ste 10, Ofallon, IL 62269 | 2020-09-03 |
| 1013533819 | Michelle Denise Voudrie | Registered Nurse | 321 Regency Park, O'fallon, IL 62269 | 2020-06-18 |
| 1598398455 | Washington University Physicians In Illinois - Cancer Center Pharmacy | Pharmacy | 1418 Cross Street, Suite 180, Shiloh, IL 62269 | 2020-02-19 |
| 1962063800 | Gerald Paskert | Pharmacist | 122 W. State St., O'fallon, IL 62269 | 2019-06-21 |
| 1780144808 | Bonnie Jean Lampe | Physical Therapy Assistant | 316 Donna Dr, O'fallon, IL 62269 | 2019-03-24 |
| 1134633993 | Latisha Smith | Psychologist | 600 S. Smiley St., O'fallon, IL 62269 | 2017-11-30 |
| 1619407210 | Brenna M Thomas | Registered Nurse | 1310 Engle Ct, O'fallon, IL 62269 | 2017-06-15 |
| 1881135622 | Pc Associates, LLC | Family Medicine | 800 East Highway 50, O'fallon, IL 62269 | 2017-03-13 |
| 1700230539 | Jennifer Farrell | Family Medicine | 3 St. Elizabeth's Blvd, Ste. 4000, O'fallon, IL 62269 | 2016-04-18 |
| Find all providers in zip 62269 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992310247 | Direct Mobile Pt and Wellness, LLC | Physical Therapist | 0n553 Dorchester Ave, Wheaton, IL 60187-1709 | 2020-09-14 |
| 1285259507 | Sheila Valencia Punzalan | Physical Therapist | 7825 Crawford Ave, Skokie, IL 60076-3609 | 2020-06-11 |
| 1912471913 | Heidi Moyer | Physical Therapist | 665 W North Ave Ste 500, Lombard, IL 60148-1135 | 2019-01-14 |
| 1801362314 | Eric John Grahn | Physical Therapist | 655 White Oak Way, Yorkville, IL 60560-9581 | 2018-10-23 |
| 1588139141 | Marc Brown | Physical Therapist | 930 Monroe St, Galesburg, IL 61401-2538 | 2018-10-10 |
| 1215388244 | Shefali Chandnani | Physical Therapist | 332 Veneto, Bloomingdale, IL 60108-1036 | 2016-06-30 |
| 1154777373 | Tejaswini Savarkar | Physical Therapist | 1412 Frenchmans Bend Dr, Naperville, IL 60564-9714 | 2016-05-06 |
| 1760879969 | Joseph Albert De Mesa Montemayor | Physical Therapist | 3639 N Ottawa Ave, Unit 2, Chicago, IL 60634-3108 | 2015-04-25 |
| 1740686229 | Cynthia Valaitis | Physical Therapist | 17 Ottawa Ct, Oswego, IL 60543-9165 | 2014-11-11 |
| 1538563671 | Jigeeh Mantujac | Physical Therapist | 4559 Imperial Dr, 3e, Richton Park, IL 60471-2437 | 2014-10-17 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on EMPOWERME REHABILITATION ILLINOIS LLC.
| 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.