Tyler R Carroll (NPI# 1184985137, PAC ID# 4880844034) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1184985137 |
| PAC ID by PECOS | 4880844034 |
| Professional Enrollment ID | I20121024000090 |
| Full Name | Tyler R Carroll |
| Organization Legal Name | ATHLETIC AND THERAPEUTIC INSTITUTE OF BOURBONNAIS, LLC |
| Address |
2542 S Alpine Rd Suite 102 Rockford IL 61108-7813 |
| Phone Number | 8159975115 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 4183692577 |
| Number of Group Practice Members | 241 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 2542 S Alpine Rd, Suite 102, Rockford, IL 61108-7813 | 8159975115 | ATHLETIC AND THERAPEUTIC INSTITUTE OF BOURBONNAIS, LLC |
| Organization Legal Name | ATHLETIC AND THERAPEUTIC INSTITUTE OF BOURBONNAIS, LLC |
| Physicians | 256 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jacob W Comstock | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 1296 W Boughton Rd, Bolingbrook, IL 60490-1554 |
| Allison Anne Zak | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 2340 W Indian Trl, Suite 120, Aurora, IL 60506-1570 |
| Adam C Detoni | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 1240 Route 34, Oswego, IL 60543-8939 |
| Mark Whitsitt | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 11535 Us Hwy 14, Woodstock, IL 60098-7227 |
| Samantha Marconi | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 3080 Caton Farm Rd, Unit 17, Joliet, IL 60435-1455 |
| Shelby Osterberg | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 12112 S Route 47, Huntley, IL 60142-9619 |
| Brock Wayne Athey | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 1300 E Route 40, Casey, IL 62420-3126 |
| Matthew Windmoeller | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 1521 E Riverside Blvd, Suite 2, Loves Park, IL 61111-4771 |
| Mandi Miller | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 605 E Southline Rd, Tuscola, IL 61953-2053 |
| Shannon P Gengenbacher | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 3082 Caton Farm Rd, Joliet, IL 60435-1455 |
| Street Address |
2542 S ALPINE RD SUITE 102 |
| City | ROCKFORD |
| State | IL |
| Zip | 61108-7813 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marie L Epling | Clinical Social Worker | 6975 Redansa Dr, Rockford, IL 61108-1201 | |
| Paul A Galluzzo | Podiatry | 6999 Redansa Dr, Rockford, IL 61108-1201 | |
| James M Viggiano | Psychologist, Clinical | 6975 Redansa Dr, Rockford, IL 61108-1201 | |
| Jason R Soriano | Psychologist, Clinical | 6975 Redansa Dr, Rockford, IL 61108-1201 | |
| Brian D Klaung | Clinical Social Worker | 6975 Redansa Dr, Rockford, IL 61108-1201 | |
| Suzanne E Stephan | Clinical Social Worker | 1463 S Bell School Rd, Suite 8, Rockford, IL 61108-1406 | |
| Beth A Drennen | Clinical Social Worker | 1463 S Bell School Rd, Suite 8, Rockford, IL 61108-1406 | |
| Lisa M Nackers | Psychologist, Clinical | University of Wisconsin Medical Foundation Inc | 2404 Charles St, Rockford, IL 61108-1602 |
| Sarah M Gurney | Nurse Practitioner | Swedishamerican Hospital | 2404 Charles St, Rockford, IL 61108-1602 |
| Leynard M Martinez | Family Medicine | Swedishamerican Hospital | 2404 Charles St, Rockford, IL 61108-1602 |
| Find all physicians in zip 61108 | |||
| City | ROCKFORD |
| Zip Code | 61108 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | ROCKFORD + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Tyler R Carroll.
| 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.