Zack Shaw (NPI# 1154848034, PAC ID# 0547535478) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1154848034 |
| PAC ID by PECOS | 0547535478 |
| Professional Enrollment ID | I20171003006700 |
| Full Name | Zack Shaw |
| Organization Legal Name | IVYREHAB PHYSICAL THERAPY PLLC |
| Address |
2700 Keslinger Rd Suite C Geneva IL 60134-4645 |
| Phone Number | 6302622633 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 7012997638 |
| Number of Group Practice Members | 124 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 4855 -57 E, Suite 36, Decatur, IL 62521 | 2178641264 | IVYREHAB PHYSICAL THERAPY PLLC |
| 2700 Keslinger Rd, Suite C, Geneva, IL 60134-4645 | 6302622633 | IVYREHAB PHYSICAL THERAPY PLLC |
| Organization Legal Name | IVYREHAB PHYSICAL THERAPY PLLC |
| Physicians | 121 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tetyana Burysh | Physical Therapy | Ivyrehab Physical Therapy Pllc | 3535 Hill Blvd, Yorktown Heights, NY 10598-1293 |
| Heather Burns | Physical Therapy | Ivyrehab Physical Therapy Pllc | 3961 Long Beach Rd, Island Park, NY 11558-1127 |
| Daniel Wheeler | Physical Therapy | Ivyrehab Physical Therapy Pllc | 712 S Rand Rd, Lake Zurich, IL 60047-2467 |
| Robert George Mobyed | Physical Therapy | Ivyrehab Physical Therapy Pllc | 1730 Lakeville Rd, New Hyde Park, NY 11040-2506 |
| Brittany Antin | Physical Therapy | Ivyrehab Physical Therapy Pllc | 584 N State Rd, Briarcliff Manor, NY 10510-1522 |
| Kyle Shaffer | Physical Therapy | Ivyrehab Physical Therapy Pllc | 1805 E Hoffer St, Kokomo, IN 46902-2443 |
| Tyler Bishop | Physical Therapy | Ivyrehab Physical Therapy Pllc | Central Pkwy, Store 210, Highland Park, IL 60035 |
| Leland Williams | Physical Therapy | Ivyrehab Physical Therapy Pllc | 585 N State Rd, Briarcliff Manor, NY 10510-1542 |
| Michael Oeser | Physical Therapy | Ivyrehab Physical Therapy Pllc | 1995 Route 52, Hopewell Junction, NY 12533-3514 |
| Tyson C Damitz | Physical Therapy | Ivyrehab Physical Therapy Pllc | 5 Broadway Plz, Peru, IN 46970-1052 |
| Street Address |
2700 KESLINGER RD SUITE C |
| City | GENEVA |
| State | IL |
| Zip | 60134-4645 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ronald Blazey Bukowy | Neurology | 2700 Keslinger Rd, Suite B, Geneva, IL 60134-4645 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John J Mytych | Podiatry | 2172 Blackberry Dr, Suite 112, Geneva, IL 60134-1102 | |
| Algimantas S Kerpe | Internal Medicine | 2172 Blackberry Dr, Suite 204, Geneva, IL 60134-1106 | |
| Megan Jean Martin | Nurse Practitioner | Sycamore Medical Associates LLC | 2172 Blackberry Dr, Suite 206, Geneva, IL 60134-1106 |
| Marvin J Salzmann | Internal Medicine | Sycamore Medical Associates LLC | 2172 Blackberry Dr, Suite 206, Geneva, IL 60134-1106 |
| Mark A Whitney | Physician Assistant | Gilvydis Vein Clinic Ltd | 2631 Williamsburg Ave, Suite 202, Geneva, IL 60134-1111 |
| Hallie Konieczki | Nurse Practitioner | Gilvydis Vein Clinic Ltd | 2631 Williamsburg Ave, Suite 202, Geneva, IL 60134-1111 |
| Narha Lee | Undefined Physician Type (specify) | Lee Advanced Breast Care LLC | 2631 Williamsburg Ave, Suite 202, Geneva, IL 60134-1111 |
| Patricia L Zanelli | Chiropractic | Core Wellness Chiropractic and Anti-aging Centre | 321 Stevens St, Geneva, IL 60134-1318 |
| Gregory J Zweig | Diagnostic Radiology | Radiology Subspecialists of Northern Illinois LLC | 825 W State St, Suite 103e, Geneva, IL 60134-2078 |
| Kiran V Talanki | Diagnostic Radiology | Radiology Subspecialists of Northern Illinois LLC | 825 W State St, Suite 103e, Geneva, IL 60134-2078 |
| Find all physicians in zip 60134 | |||
| City | GENEVA |
| Zip Code | 60134 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | GENEVA + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.