IMA, INC. PHYSICAL THERAPY (NPI# 1750564274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1750564274 |
Entity Type | Organization |
Organization Name | IMA, INC. PHYSICAL THERAPY |
Practice Address |
719 S Rogers St Bloomington IN 47403-2335 |
Practice Telephone | 8123234475 |
Practice Fax Number | 8123234478 |
Mailing Telephone | 8123234475 |
Mailing Fax Number | 8123234478 |
Enumeration Date | 2007-12-06 |
Last Update Date | 2007-12-06 |
Authorized Official Name | DR. WESLEY W RATLIFF (PRESIDENT) |
Authorized Official Telephone | 8123313400 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
NA | IN | Ambulatory Health Care Facilities |
Street Address |
719 S ROGERS ST |
City | BLOOMINGTON |
State | IN |
Zip Code | 47403-2335 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205831070 | Jason R Vandeventer | Physical Therapist | 719 S Rogers St, Bloomington, IN 47403-2335 | 2005-06-16 |
1477700714 | Karen Kay Wells | Physical Therapist | 719 S Rogers St, Suite B, Bloomington, IN 47403-2332 | 2008-08-19 |
1194722488 | Sandra Ray | Physical Therapist | 719 S Rogers St, Bloomington, IN 47403-2335 | 2005-07-01 |
1619972601 | Mary Vankooten | Family Medicine | 719 S Rogers St, Bloomington, IN 47403-2335 | 2005-06-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043783673 | Brook Whitaker | Registered Nurse | 4011 S. Monroe Medical Park Blvd, Bloomington, IN 47403 | 2019-01-07 |
1598251175 | Jacob Edward Lundorf | Nurse Practitioner | 2100 S Liberty Dr Ste B, Bloomington, IN 47403 | 2018-07-06 |
1568973717 | Gregory Thomas Dougan | Physician Assistant | 418 South Landmark Avenue, Bloomington, IN 47403 | 2017-10-16 |
1295276160 | Indiana Center for Recovery, LLC | Substance Abuse Rehabilitation Facility | 1004 W 1st Street, Bloomington, IN 47403 | 2017-03-13 |
1144694217 | Kayla Dewolf | Specialist/Technologist | 1471 W Allen St, Bloomington, IN 47403 | 2015-11-30 |
1164806444 | Monroe Hosoital | General Acute Care Hospital | 4011 Monroe Medical Park, Bloomington, IN 47403 | 2015-07-16 |
1821411588 | Jennifer Turner | Occupational Therapy Assistant | 1023 West Main St, Swiss Villa, Vevay, IN 47403 | 2014-01-30 |
1104170232 | Kendall Basore | Social Worker | 445 S. Landmark Ave., Bloomington, IN 47403 | 2012-10-26 |
1568715886 | Indiana Hearing LLC | Hearing Aid Equipment | 2019 S Liberty Dr, Bloomington, IN 47403 | 2012-10-24 |
1679870232 | Accurate Hearing Services | Clinic/Center | 1355 W Second St, #3, Bloomington, IN 47403 | 2011-02-17 |
Find all providers in zip 47403 |
Taxonomy Code | 261QP2000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Physical Therapy |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962987255 | Ptworx LLC | Clinic/Center | 5006 S Rogers St, Bloomington, IN 47403-4655 | 2018-10-02 |
1013030352 | Physiotherapy Associates Inc | Clinic/Center | 1355 W Bloomfield Rd Ste B, Bloomington, IN 47403-2052 | 2007-04-10 |
1518049337 | Illinois Physical Therapy Associates Limited Partnership | Clinic/Center | 3609 General Electric Rd, Suite B, Bloomington, IL 61704-8534 | 2006-10-20 |
1720549892 | Five Star Rehabilitation and Wellness Services, LLC. | Clinic/Center | 2455 N Tamarack Trl, Bloomington, IN 47408-1294 | 2019-03-29 |
1487164869 | Vitalrehab Physical Therapy, LLC | Clinic/Center | 1015 S Mercer Ave, Bloomington, IL 61701-7107 | 2017-10-11 |
1316473325 | Embody Boss LLC | Clinic/Center | 128 E 6th St, Bloomington, IN 47408-3311 | 2017-05-11 |
1639565971 | Champion Fitness, Inc | Clinic/Center | 1015 S Mercer Ave, Bloomington, IL 61701-7107 | 2015-04-14 |
1700279007 | Delong Wellness, LLC | Clinic/Center | 218 N Rogers St, Bloomington, IN 47404-3969 | 2015-03-11 |
1104236165 | Heritage Enterprises, Inc | Clinic/Center | 700 E Walnut St, Bloomington, IL 61701-3244 | 2014-04-30 |
1861810228 | Rally Physical Therapy LLC | Clinic/Center | 19165 Meander Way, Bloomington, IL 61705-5227 | 2014-04-02 |
Find all providers in BLOOMINGTON |
City | BLOOMINGTON |
Zip Code | 47403 |
Please comment or provide details below to improve the information on IMA, INC. PHYSICAL THERAPY.
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.