DIRECT MOBILE PT AND WELLNESS, LLC (NPI# 1992310247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992310247 |
| Entity Type | Organization |
| Organization Name | DIRECT MOBILE PT AND WELLNESS, LLC |
| Practice Address |
0n553 Dorchester Ave Wheaton IL 60187-1709 |
| Practice Telephone | 7735520427 |
| Mailing Telephone | 7735520427 |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-14 |
| Authorized Official Name | JANET DEE (OWNER) |
| Authorized Official Telephone | 7735520427 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251G0304X |
Physical Therapist Specialization: Geriatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
0N553 DORCHESTER AVE |
| City | WHEATON |
| State | IL |
| Zip Code | 60187-1709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811510738 | Arielle Susan Kalvelage | Counselor | Central Public Health Center (cphc), 111 N. County Farm Road, Wheaton, IL 60187 | 2020-05-27 |
| 1801418363 | Peter Gerard Harvey | Acupuncturist | 200 East Willow Avenue, Suite 202, Wheaton, IL 60187 | 2020-05-07 |
| 1760028823 | Teresa Clasen | Counselor | 222 Willow Ave, Wheaton, IL 60187 | 2019-11-25 |
| 1821630757 | Eastern Healing Inc. | Acupuncturist | 200 E. Willow Ave., Suite 202, Wheaton, IL 60187 | 2019-10-11 |
| 1952816282 | Caprishea Jones | Counselor | 111 N County Farm Road, Wheaton, IL 60187 | 2017-12-08 |
| 1265880330 | Bryan Cairncross | Specialist/Technologist | 1503 Beecher Ave., Wheaton, IL 60187 | 2016-05-31 |
| 1811357544 | Patricia Diaz | Nurse Practitioner | 0n620 West Street, Wheaton, IL 60187 | 2016-02-23 |
| 1962819227 | Breakthrough Care Center | Clinic/Center | 150 E. Willow Ave, Ste 100, Wheaton, IL 60187 | 2014-07-18 |
| 1780005587 | Kyler Mulhauser | Counselor | 600 W. Roosevelt Rd, Suite A2, Wheaton, IL 60187 | 2013-12-20 |
| 1538593074 | Deborah Bates | Psychologist | 300 E Roosevelt Rd Ste 105, Wheaton, IL 60187 | 2013-08-31 |
| Find all providers in zip 60187 | ||||
| Taxonomy Code | 2251G0304X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Geriatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376176859 | Benigno Abuesa Santos Jr | Physical Therapist | 11901 Georgia Ave, Wheaton, MD 20902-2001 | 2020-02-13 |
| 1508905209 | Teresa Ichniowski | Physical Therapist | 2730 University Blvd W, Suite 714, Wheaton, MD 20902-1905 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285259507 | Sheila Valencia Punzalan | Physical Therapist | 7825 Crawford Ave, Skokie, IL 60076-3609 | 2020-06-11 |
| 1912471913 | Heidi Moyer | Physical Therapist | 665 W North Ave Ste 500, Lombard, IL 60148-1135 | 2019-01-14 |
| 1801362314 | Eric John Grahn | Physical Therapist | 655 White Oak Way, Yorkville, IL 60560-9581 | 2018-10-23 |
| 1588139141 | Marc Brown | Physical Therapist | 930 Monroe St, Galesburg, IL 61401-2538 | 2018-10-10 |
| 1215388244 | Shefali Chandnani | Physical Therapist | 332 Veneto, Bloomingdale, IL 60108-1036 | 2016-06-30 |
| 1154777373 | Tejaswini Savarkar | Physical Therapist | 1412 Frenchmans Bend Dr, Naperville, IL 60564-9714 | 2016-05-06 |
| 1760879969 | Joseph Albert De Mesa Montemayor | Physical Therapist | 3639 N Ottawa Ave, Unit 2, Chicago, IL 60634-3108 | 2015-04-25 |
| 1740686229 | Cynthia Valaitis | Physical Therapist | 17 Ottawa Ct, Oswego, IL 60543-9165 | 2014-11-11 |
| 1538563671 | Jigeeh Mantujac | Physical Therapist | 4559 Imperial Dr, 3e, Richton Park, IL 60471-2437 | 2014-10-17 |
| 1154722916 | Riza Acas | Physical Therapist | 3305 Wanskuck St, Elgin, IL 60124-4322 | 2014-09-11 |
| 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.