RALLY PHYSICAL THERAPY LLC (NPI# 1861810228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861810228 |
| Entity Type | Organization |
| Organization Name | RALLY PHYSICAL THERAPY LLC |
| Practice Address |
19165 Meander Way Bloomington IL 61705-5227 |
| Practice Telephone | 3093103158 |
| Mailing Telephone | 3093103158 |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2014-04-02 |
| Authorized Official Name | CASEY KETELSEN (OWNER) |
| Authorized Official Telephone | 3094333273 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
070016508 | IL | Ambulatory Health Care Facilities |
| Street Address |
19165 MEANDER WAY |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61705-5227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164840849 | Laura Coughlin | Physical Therapist | 19165 Meander Way, Bloomington, IL 61705-5227 | 2014-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205213758 | Compass Counselors | Counselor | 14237 Twin Grove Rd., Bloomington, IL 61705 | 2015-05-05 |
| 1740540988 | Christine Rodeghero | Speech-Language Pathologist | 15 Stonehedges Ct, Bloomington, IL 61705 | 2012-05-22 |
| 1568944569 | Amy Mammadov | Speech-Language Pathologist | 7 Callahan Ct, Bloomington, IL 61705-1701 | 2018-09-05 |
| 1649528514 | Marsha Lynn Karhoff-burnett | Speech-Language Pathologist | 2 Cloverhill Cir, Bloomington, IL 61705-3300 | 2012-08-26 |
| 1720468796 | Tamara Brennan | Social Worker | 19897 Lakewood Dr, Bloomington, IL 61705-4003 | 2015-06-04 |
| 1932126224 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2225 W Market St, Bloomington, IL 61705-5014 | 2006-07-16 |
| 1497356596 | Hosannah Marie Dalogdog | Specialist/Technologist | 2225 W Market St, Bloomington, IL 61705-5014 | 2020-11-04 |
| 1689273237 | Heather Becker | Pharmacist | 2225 W Market St, Bloomington, IL 61705-5014 | 2020-10-23 |
| 1285923680 | Bnl Eyecare Inc. | Optometrist | 2225 W Market St, Vision Center, Bloomington, IL 61705-5014 | 2011-04-06 |
| 1750603965 | Allmond Eyecare, LLC | Optometrist | 2225 W Market St, Bloomington, IL 61705-5014 | 2010-02-16 |
| Find all providers in zip 61705 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
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| 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 |
| 1134437460 | Institute for Athletic Medicine | Clinic/Center | 600 W 98th St, Bloomington, MN 55420-4773 | 2010-09-21 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61705 |
Please comment or provide details below to improve the information on RALLY PHYSICAL THERAPY 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.