MISS MELISSA LYN VICKERS (NPI# 1912041740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912041740 |
| Entity Type | Individual |
| Full Name | MISS MELISSA LYN VICKERS |
| Credential | PT |
| Practice Address |
11824 Southwest Hwy Ste 230 Palos Heights IL 60463-1055 |
| Practice Telephone | 7086711175 |
| Practice Fax Number | 7086711176 |
| Mailing Telephone | 7086711175 |
| Mailing Fax Number | 7086711176 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2008-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
070014165 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437457215 | Melissa Vickers | Occupational Therapist | 250 Nw 76th Dr, Gainesville, FL 32607-6668 | 2011-03-03 |
| 1225256225 | Melissa Vickers | Registered Nurse | 10 Southard St, Trenton, NJ 08609-1020 | 2007-04-23 |
| Street Address |
11824 SOUTHWEST HWY STE 230 |
| City | PALOS HEIGHTS |
| State | IL |
| Zip Code | 60463-1055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831157494 | Neurologic Associates L.t.d. | Specialist | 11824 Southwest Hwy, Suite 100, Palos Heights, IL 60463-1055 | 2006-05-03 |
| 1891234290 | Clinical Associates of Palos Heights Sc | Family Medicine | 11824 Southwest Hwy, Suite 110, Palos Heights, IL 60463-1055 | 2017-02-17 |
| 1366804650 | Sarah Stoerman | Registered Nurse | 11824 Southwest Hwy, Palos Heights, IL 60463-1055 | 2016-03-24 |
| 1487026845 | Eileen Johnson | Counselor | 11824 Southwest Hwy, Suite 230, Palos Heights, IL 60463-1055 | 2015-10-26 |
| 1386020907 | Mark C. Bonen | Counselor | 11824 Southwest Hwy, Palos Heights, IL 60463-1055 | 2015-08-05 |
| 1417214222 | Kalani Raquel Wells | Nurse Practitioner | 11824 Southwest Hwy, Ste 100, Palos Heights, IL 60463-1055 | 2012-04-18 |
| 1306128285 | Susan T Dixon | Nurse Practitioner | 11824 Southwest Hwy, Suite 200, Palos Heights, IL 60463-1055 | 2011-09-15 |
| 1740501568 | Melissa Beth Rooney | Psychiatry & Neurology | 11824 Southwest Hwy, Suite 100, Palos Heights, IL 60463-1055 | 2010-06-15 |
| 1285870840 | Renee Spinella | Physical Therapist | 11824 Southwest Hwy, Palos Heights, IL 60463 | 2008-12-31 |
| 1861647620 | Nancy Javior | Occupational Therapist | 11824 Southwest Hwy, Suite 230, Palos Heights, IL 60463-1055 | 2008-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932756095 | Kim Rusiecki | Technician | 25 Parliament Drive East, Palos Heights, IL 60463 | 2019-08-23 |
| 1265925218 | Sentinel Anesthesia of Illinois, PC | Anesthesiology | 7340 W College Dr Fl 1, Palos Heights, IL 60463 | 2018-06-13 |
| 1225410848 | Deborah Ann Castaneda | Skilled Nursing Facility | 12350 Natchez Ave., Palos Heights, IL 60463 | 2015-06-19 |
| 1609253160 | Tareq Ayyad | Physical Therapy Assistant | 11730 Lighthouse Ln, Palos Heights, IL 60463 | 2015-05-04 |
| 1366846503 | Ryan Teahen | Dentist | 7600 W College Dr Ste 17, Palos Heights, IL 60463 | 2014-10-17 |
| 1295140309 | Paul Park | Ophthalmology | 7600 W College Dr Ste 9, Palos Heights, IL 60463 | 2014-06-26 |
| 1275976045 | Nazim A. Khan | Physician Assistant | 6450 West College Drive, Palos Heights, IL 60463 | 2013-04-11 |
| 1619246824 | Amanda M Ejka | Psychologist | 11800 South 75th Avenue, Suite 300, Palos Heights, IL 60463 | 2011-12-16 |
| 1578832937 | Sandi Maheras | Pharmacist | 1703 Spyglass Cir, Palos Heights, IL 60463 | 2011-12-14 |
| 1043597065 | Ashraf Olwan | Pharmacist | 7660 W Sequoia Rd, Palos Heights, IL 60463 | 2011-11-04 |
| Find all providers in zip 60463 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073640116 | Maryann L Maher | Physical Therapist | 7804 College Drive, Suite 1 S.w., Palos Heights, IL 60463 | 2007-02-27 |
| 1750313052 | Darlene Huisenga | Physical Therapist | 6400 W College Dr, Suite 800, Palos Heights, IL 60463-1785 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841750411 | Crawl Walk Leap P.C. | Physical Therapist | 720 W Randolph St Apt 1103, Chicago, IL 60661-2171 | 2019-03-21 |
| 1912478777 | Elaine Rodriguez | Physical Therapist | 3332 N Kostner Ave, Chicago, IL 60641-4513 | 2018-12-05 |
| 1437625001 | Jennifer K. Buccelli, Mpt | Physical Therapist | 597 Plymouth Ct, Gurnee, IL 60031-3229 | 2018-10-22 |
| 1124511159 | Molly Victorine | Physical Therapist | 1375 Newcastle Ln, Hoffman Estates, IL 60169-1225 | 2018-06-13 |
| 1750896163 | Julie Ann Brady | Physical Therapist | 430 Nevada St, Frankfort, IL 60423-1565 | 2017-12-07 |
| 1467965939 | Carla Gain | Physical Therapist | 118 Westhaven School Rd, Belleville, IL 62220-3264 | 2017-11-07 |
| 1538678354 | Anita Tallegien Daneshdoost | Physical Therapist | 1725 Shomaker Drive, Murphysboro, IL 62966 | 2017-09-25 |
| 1861917189 | Marisa Raineri | Physical Therapist | 750 Pasquinelli Dr., #204, Westmont, IL 60559 | 2017-08-08 |
| 1669915674 | Anna's Pediatric Physical Therapy LLC | Physical Therapist | 2120 W Armitage Ave, Unit 1, Chicago, IL 60647-4516 | 2016-11-22 |
| 1417409970 | Katherine Wolff | Physical Therapist | 12 N Kenilworth Ave, Mount Prospect, IL 60056-2232 | 2016-11-01 |
| Find all providers with the same taxonomy | ||||
| City | PALOS HEIGHTS |
| Zip Code | 60463 |
Please comment or provide details below to improve the information on MISS MELISSA LYN VICKERS.
| 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.