MARLA MONGE (NPI# 1922241819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922241819 |
| Entity Type | Individual |
| Full Name | MARLA MONGE |
| Other Name | MARLA AUSTIN |
| Credential | LMT |
| Practice Address |
421 S Mulford Rd Suite 200 Rockford IL 61108-3009 |
| Practice Telephone | 8152279997 |
| Practice Fax Number | 8152279929 |
| Mailing Telephone | 8152279997 |
| Mailing Fax Number | 8152279929 |
| Enumeration Date | 2009-04-08 |
| Last Update Date | 2009-04-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
421 S MULFORD RD SUITE 200 |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61108-3009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841473014 | Myofascial Therapy Center At Rockford, LLC | Physical Therapist | 421 S Mulford Rd, Rockford, IL 61108-3009 | 2007-12-11 |
| 1376869727 | Myofascial Physical Therapy, LLC | Clinic/Center | 421 S Mulford Rd, Rockford, IL 61108-3009 | 2010-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952862617 | Isr Enterprises, Inc. | Homemaker | 129 Phelps Ave, Bldg 10, Ste 1008, Rockford, IL 61108 | 2019-03-26 |
| 1003306465 | Adrienne Nicole Black | Behavior Technician | 519 Woodland Dr, Woodland Dr, Rockford, IL 61108 | 2018-05-11 |
| 1184085201 | Integrative Healing Center, LLC | Clinic/Center | 6019 Fincham Drive, Rockford, IL 61108 | 2016-03-17 |
| 1730547936 | Perryville Dentist PC | Dentist | 845 S Perryville Rd, Unit 119, Rockford, IL 61108 | 2016-02-02 |
| 1023489853 | Nicole Ping Ticknor | Counselor | 433 S. Phelps Ave., Suite 2, Rockford, IL 61108 | 2015-10-20 |
| 1275940348 | Northwest Home Care, Inc. | Home Health | 1437 S. Bell School Road, Suite 7, Rockford, IL 61108 | 2014-07-21 |
| 1487072922 | Alecia Greenlee | Psychiatry & Neurology | Rosecrance Community Mental Health, 3815 Harrison Avenue, Rockford, IL 61108 | 2014-04-02 |
| 1871925446 | Maria Laura Gustafson | Interpreter | 3208 Wesleyan Ave., Rockford, IL 61108 | 2013-08-06 |
| 1346582822 | Joseph Peevey | Pathology | 5666 E State Street, Department of Pathology, Rockford, IL 61108 | 2013-03-21 |
| 1134466923 | James Henry Peck | Hearing Instrument Specialist | 2424 Charles St, Rockford, IL 61108 | 2013-01-14 |
| Find all providers in zip 61108 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902411325 | Todd M Genovese | Massage Therapist | 3209 Twin Ridge Ln, Rockford, IL 61109-3866 | 2020-09-11 |
| 1558980797 | Christy Ann Cellitti | Massage Therapist | 2222 E State St Ste A98, Rockford, IL 61104-1572 | 2020-04-08 |
| 1922452572 | Sarah Deur | Massage Therapist | 7500 Agawa Trl Ne, Rockford, MI 49341-8524 | 2016-04-20 |
| 1366801664 | Lorri Ann Kelbel | Massage Therapist | 11591 Northland Drive Ne, Rockford, MI 49341 | 2016-02-15 |
| 1225413073 | Hannah Grissom | Massage Therapist | 11591 Northland Dr Ne, Rockford, MI 49341-8426 | 2015-07-22 |
| 1144618984 | Maria Natalia Corales | Massage Therapist | 519 Parkside Dr, Rockford, IL 61108-2024 | 2015-01-01 |
| 1427318831 | Paulette Jeronimus | Massage Therapist | 4616 Newcastle Rd, Rockford, IL 61108-7714 | 2012-05-18 |
| 1851673669 | Nadene Johnson | Massage Therapist | 1917 E Gate Pkwy, Rockford, IL 61108-5915 | 2011-09-16 |
| 1578852216 | Robin J Debenedetto | Massage Therapist | 4967 Cardamon Ln, Rockford, IL 61114-5323 | 2011-04-04 |
| 1366744963 | Kelli Boehning | Massage Therapist | 429 Phelps Ave, Bldg. 7 Ste. 711, Rockford, IL 61108-2493 | 2010-12-02 |
| Find all providers in ROCKFORD | ||||
Please comment or provide details below to improve the information on MARLA MONGE.
| 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.