MRS. MARION HUTCHINSON ILLICH (NPI# 1811132764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811132764 |
| Entity Type | Individual |
| Full Name | MRS. MARION HUTCHINSON ILLICH |
| Credential | P.T. |
| Practice Address |
65 Scudder Pl Northport NY 11768-3026 |
| Practice Telephone | 6317546791 |
| Mailing Telephone | 6317546791 |
| Enumeration Date | 2008-12-06 |
| Last Update Date | 2008-12-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
003909 | NY | Ambulatory Health Care Facilities |
| Street Address |
65 SCUDDER PL |
| City | NORTHPORT |
| State | NY |
| Zip Code | 11768-3026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649753088 | Tania Morris | Developmental Therapist | 130 Main St, #1, Northport, Ny 11768, Northport, NY 11768 | 2018-09-12 |
| 1639698343 | Karen Yuan Wong | Student in an Organized Health Care Education/Training Program | 79 Middleviille Rd., Optometry 123, Northport, NY 11768 | 2017-09-13 |
| 1821514795 | Village Speech and Language Pllc | Clinic/Center | 62 Makamah Beach Rd, Northport, NY 11768 | 2017-08-22 |
| 1073960415 | Dennis Falco | Private Vehicle | 5 Captain Richards Ln, Fort Salonga, NY 11768 | 2016-05-16 |
| 1679938252 | Debra Marie Failla | Psychologist | 260 Main Street, Suite 202, Northport, NY 11768 | 2015-12-23 |
| 1649649096 | Lillian Patricia Fais | Specialist | 26 Josephine Lane, Fort Salonga, NY 11768 | 2015-09-16 |
| 1427349505 | Kathleen Ann Korwasky | Occupational Therapist | 18 Dick Court, Northport, NY 11768 | 2011-04-25 |
| 1043448822 | Gianna Rose Ferranti | Dentist | 19 Winkle Point Road, Northport, NY 11768 | 2009-06-30 |
| 1861658213 | Barbara Ann Hansen | Registered Nurse | 78 Eatons Neck Rd, Northport, NY 11768 | 2008-08-05 |
| 1902060148 | Dana Ruth Cohen | Psychiatry & Neurology | 79 Middleville Road, Bldg 64, Northport Vamc, Northport, NY 11768 | 2008-07-16 |
| Find all providers in zip 11768 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417593625 | Drayer Physical Therapy Alabama LLC | Clinic/Center | 12420 Wildcat Dr Unit B, Northport, AL 35475-4576 | 2019-11-22 |
| 1043860893 | Alabama Fyzical | Clinic/Center | 4280 Watermelon Rd Ste 113, Northport, AL 35473-5163 | 2019-09-13 |
| 1669942728 | Dch Encore Rehabilitation, LLC | Clinic/Center | Dch Encore Rehabilitation, LLC, 92 Mcfarland Blvd, Northport, AL 35476 | 2018-12-03 |
| 1982951026 | Northriver Therapy | Clinic/Center | 400 Mcfarland Blvd, Ste F, Northport, AL 35476-3371 | 2012-08-08 |
| 1093279101 | Dch Encore Rehabilitation, LLC | Clinic/Center | 92 Mcfarland Blvd, Northport, AL 35476-3348 | 2019-01-23 |
| 1366835811 | Northport Physical Therapy, LLC | Clinic/Center | 301 N Mill St, Northport, MI 49670-5009 | 2015-03-09 |
| 1770830242 | Encore Rehabilitation, Inc. | Clinic/Center | 92 Mcfarland Blvd, Northport, AL 35476-3348 | 2012-08-14 |
| 1528389319 | Seablue Physical Therapy LLC | Clinic/Center | 67 Atlantic Hwy, Northport, ME 04849 | 2010-06-16 |
| 1811196124 | Meharry Physical Therapy, Inc. | Clinic/Center | 525 Energy Center Blvd, Suite 1601, Northport, AL 35473-5830 | 2007-07-16 |
| 1083771836 | Village Physical Therapy, P.C. | Clinic/Center | 433 Fort Salonga Rd, Northport, NY 11768-3048 | 2007-01-02 |
| Find all providers in NORTHPORT | ||||
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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.