MARY B JESSE (NPI# 1750697033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750697033 |
| Entity Type | Individual |
| Full Name | MARY B JESSE |
| Practice Address |
1830 S 44th St Decatur IL 62521-5147 |
| Mailing Address |
205 W Wall St Moweaqua IL 62550-1151 |
| Practice Telephone | 2174232784 |
| Enumeration Date | 2010-08-25 |
| Last Update Date | 2010-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
070007130 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548451727 | Mary Kristen Jesse | Obstetrics & Gynecology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2007-08-05 |
| Street Address |
1830 S 44TH ST |
| City | DECATUR |
| State | IL |
| Zip Code | 62521-5147 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982719738 | Dialysis Centers of America - Illinois, Inc. | Clinic/Center | 1830 S 44th St, Decatur, IL 62521-5147 | 2006-08-20 |
| 1386148450 | Ethan Simmons | Physical Therapist | 1830 S 44th St, Decatur, IL 62521-5147 | 2018-03-22 |
| 1598071870 | Nicole Ann Gariglietti | Physical Therapy Assistant | 1830 S 44th St, Decatur, IL 62521-5147 | 2010-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053927988 | Caleb David Braasch | Pharmacist | 1818 South Airport Rd, Decatur, IL 62521 | 2020-09-16 |
| 1295390490 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | Crossing Recovery Center, 495 East Central Ave, Decatur, IL 62521 | 2019-05-03 |
| 1396300638 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 E Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1679138911 | Crossing Recovery Center | Substance Abuse Rehabilitation Facility | 495 East Central Ave, Decatur, IL 62521 | 2019-05-02 |
| 1154848034 | Zack Shaw | Physical Therapist | 4855-57 East 36, Decatur, IL 62521 | 2017-08-23 |
| 1790032852 | Prashant Morolia | Family Medicine | 4775 E Maryland St, Decatur, IL 62521 | 2012-08-08 |
| 1003188913 | Evergreen Place Decatur, LLC | Assisted Living Facility | 4825 E Evergreen Court, Decatur, IL 62521 | 2012-02-08 |
| 1104133099 | Suzette Marie Shafer | Occupational Therapy Assistant | 1790 S. Fairview Ave., Decatur, IL 62521 | 2010-09-13 |
| 1467784090 | Community Health Improvement Center | Clinic/Center | 1221 East Condit Street, Decatur, IL 62521 | 2010-02-08 |
| 1982839056 | Kelly Clark Dds PC | Dentist | 3737 Us Rt 36 E, Decatur, IL 62521 | 2009-05-19 |
| Find all providers in zip 62521 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598287609 | Lance Frank | Physical Therapist | 755 Commerce Dr Ste 712, Decatur, GA 30030-2621 | 2017-07-11 |
| 1366514945 | Patrick G Swinea | Physical Therapist | 1117 16th Ave Se, Decatur, AL 35601-3534 | 2006-11-15 |
| 1972539880 | Donald J Crochet | Physical Therapist | 1382 Scott Blvd, Suite A, Decatur, GA 30030-1421 | 2006-06-23 |
| 1568737849 | Myofascial Physiocare LLC | Physical Therapist | 2545 Lawrenceville Hwy, Suite 100, Decatur, GA 30033-3239 | 2012-03-20 |
| 1043461650 | Alexandra Moran | Physical Therapist | 1014 Sycamore Dr, Suite A, Decatur, GA 30030-1644 | 2008-10-02 |
| 1558433144 | Brian P Robertson | Physical Therapist | 1117 16th Ave Se, Decatur, AL 35601-3534 | 2006-11-15 |
| 1720167083 | Jessica E. Simbro | Physical Therapist | 1014 Sycamore Dr, Ste. B, Decatur, GA 30030-1644 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986891 | Murtaza Aziz | Physical Therapist | 1431 N Western Ave Ste 140, Chicago, IL 60622-1770 | 2020-09-14 |
| 1902416720 | Epicore Physical Therapy | Physical Therapist | 1660 N La Salle Dr Apt 2708, Chicago, IL 60614-6021 | 2020-08-06 |
| 1356968374 | Genevieve Joy Owen | Physical Therapist | 555 Busse Hwy Unit C1, Park Ridge, IL 60068-3189 | 2020-06-26 |
| 1518597772 | Stability Physical Therapy and Wellness, LLC | Physical Therapist | 5031 W Balmoral Ave, Chicago, IL 60630-1507 | 2020-01-16 |
| 1154972719 | Antonio Marquez | Physical Therapist | 7425 Janes Ave Ste 200, Woodridge, IL 60517-2358 | 2019-09-25 |
| 1376198978 | Natalie N Ruebke | Physical Therapist | 251 Marketplace Dr # 2, Freeburg, IL 62243-4082 | 2019-08-09 |
| 1902360241 | Stephanie Lynne Burkhart | Physical Therapist | 12251 W 159th St, Homer Glen, IL 60491-7847 | 2019-01-30 |
| 1003388943 | Scoliosis Therapy Care and More LLC | Physical Therapist | 4n369 Booth Tarkington St, St Charles, IL 60175-7731 | 2018-12-17 |
| 1912478082 | Brandon Donnelly | Physical Therapist | 2200 Fort Jesse Rd Ste 230, Normal, IL 61761-6291 | 2018-12-16 |
| 1497251086 | John William Herbert | Physical Therapist | 1316 N Route 59, Naperville, IL 60563-4286 | 2018-04-03 |
| Find all providers with the same taxonomy | ||||
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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.