Ivyrehab Physical Therapy Pllc - Medicare Physical Therapist in Clinton, IL

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Ivyrehab Physical Therapy Pllc is a medicare enrolled "Physical Therapist" provider in Clinton, Illinois. Their current practice location is 204 E Washington St, Clinton, Illinois. You can reach out to their office (for appointments etc.) via phone at (217) 570-0225.

Ivyrehab Physical Therapy Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Ivyrehab Physical Therapy Pllc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1376917187.

Contact Information

Ivyrehab Physical Therapy Pllc
204 E Washington St,
Clinton, IL 61727-1715
(217) 570-0225
(217) 570-0227

Map and Direction




Healthcare Provider's Profile

Full NameIvyrehab Physical Therapy Pllc
TypeFacility
SpecialityPhysical Therapist
Location204 E Washington St, Clinton, Illinois
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1376917187
  • Provider Enumeration Date: 11/17/2015
  • Last Update Date: 09/07/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 7012997638
  • Enrollment ID: O20160304000277

Medical Identifiers

Medical identifiers for Ivyrehab Physical Therapy Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376917187NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Primary
225X00000XOccupational Therapist (* (Not Available))Secondary
235Z00000XSpeech-language Pathologist (* (Not Available))Secondary
251S00000XCommunity/behavioral Health (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Ivyrehab Physical Therapy Pllc acts as a billing entity for following providers:
Provider NameJames A Randolph
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1255450623
PECOS PAC ID: 1951385517
Enrollment ID: I20040614000591
Provider NameTherese W Zeman
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1174539472
PECOS PAC ID: 1254302961
Enrollment ID: I20040805000214
Provider NameRichard A Hartmann
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1689631681
PECOS PAC ID: 5395717524
Enrollment ID: I20040809001136
Provider NameJ Douglas Nimrick
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1154393254
PECOS PAC ID: 0042105017
Enrollment ID: I20040903000148
Provider NameJaroslaw S Matejewski
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639398191
PECOS PAC ID: 9931169117
Enrollment ID: I20041012001362
Provider NameJoseph A Fiore
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659590719
PECOS PAC ID: 8426005257
Enrollment ID: I20050405000136
Provider NameBeth M Pacocha Auer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1366570947
PECOS PAC ID: 7517908155
Enrollment ID: I20050513000498
Provider NameRenu J Sachdev
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699708560
PECOS PAC ID: 4981646296
Enrollment ID: I20050526000612
Provider NameEric Thomas Glow
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558336123
PECOS PAC ID: 8921039082
Enrollment ID: I20050829000305
Provider NameJong Tae Park
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811038672
PECOS PAC ID: 6406874940
Enrollment ID: I20051103000522
Provider NameSarah Jane Ryerson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659358729
PECOS PAC ID: 1951329143
Enrollment ID: I20051107000208
Provider NameCarla M Thomas
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1275595704
PECOS PAC ID: 0749297620
Enrollment ID: I20060317000285
Provider NameKellie Linn Knox
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1790735165
PECOS PAC ID: 7315958576
Enrollment ID: I20060601000228
Provider NameGretchen Kathleen Williams
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1649221193
PECOS PAC ID: 6305857574
Enrollment ID: I20060601000240
Provider NameBambi S Penney
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841235116
PECOS PAC ID: 8628080348
Enrollment ID: I20060621000321
Provider NameBarbara Ostrowska
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1164525234
PECOS PAC ID: 5092712224
Enrollment ID: I20061101000496
Provider NameMaria M Kronk
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1346346400
PECOS PAC ID: 6709855653
Enrollment ID: I20061215000327
Provider NameDeannine B Weber Ronan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1962599407
PECOS PAC ID: 4880696053
Enrollment ID: I20070201000331
Provider NameCharito Gomez
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1669488359
PECOS PAC ID: 1153424031
Enrollment ID: I20070314000139
Provider NamePatrick J Pyka
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1831239623
PECOS PAC ID: 8921102682
Enrollment ID: I20070406000066
Provider NameShilpi Shah Havron
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710090683
PECOS PAC ID: 4284676610
Enrollment ID: I20070416000458
Provider NameMartha A Sallmann
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1508981622
PECOS PAC ID: 3274630603
Enrollment ID: I20070521000194
Provider NameMalgorzata M Byczko
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1477742419
PECOS PAC ID: 5890885354
Enrollment ID: I20071220000335
Provider NamePaul Francis Hughes
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841329471
PECOS PAC ID: 2961582192
Enrollment ID: I20071231000189
Provider NameMichael S Bennington
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093752727
PECOS PAC ID: 8628137098
Enrollment ID: I20081030000650
Provider NameTheresa M Baron
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1861475220
PECOS PAC ID: 9739176611
Enrollment ID: I20090105000183
Provider NameRichard B Colosi
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588815583
PECOS PAC ID: 5092870394
Enrollment ID: I20090220000366
Provider NameDaniel Richard Lang
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1346357126
PECOS PAC ID: 0244397990
Enrollment ID: I20090324000408
Provider NameKristin M Lamb
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811168016
PECOS PAC ID: 4284777921
Enrollment ID: I20100203000845
Provider NameMatthew A Lesniak
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659601672
PECOS PAC ID: 4486783321
Enrollment ID: I20100602000453
Provider NameJames Anthony Lopiccolo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588772271
PECOS PAC ID: 4880719251
Enrollment ID: I20100909000404
Provider NameMelanie L Muys
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1952616245
PECOS PAC ID: 6002008018
Enrollment ID: I20101008000902
Provider NameJenna L Elbert
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1669786398
PECOS PAC ID: 8325230121
Enrollment ID: I20101012000986
Provider NameJeffrey Scott Gaich
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1093822942
PECOS PAC ID: 9830382936
Enrollment ID: I20101021000639
Provider NameJoshua Velarde
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1982915674
PECOS PAC ID: 6800075060
Enrollment ID: I20110120000856
Provider NameJustin Velarde
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1942511621
PECOS PAC ID: 1850570029
Enrollment ID: I20110120000927
Provider NameCandice Joy Jager
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811281272
PECOS PAC ID: 9032387014
Enrollment ID: I20110718000603
Provider NameJared D Mearida
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1407144397
PECOS PAC ID: 2062684897
Enrollment ID: I20111020000234
Provider NameTyson A Goken
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1538447941
PECOS PAC ID: 0547433096
Enrollment ID: I20111031000021
Provider NameJeffrey A Schroder
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1952483315
PECOS PAC ID: 5193990679
Enrollment ID: I20111212000575
Provider NameRonald F Agrigento
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1376658161
PECOS PAC ID: 3678567997
Enrollment ID: I20111227000112
Provider NamePaul D Schroeder
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093816449
PECOS PAC ID: 9032119656
Enrollment ID: I20120522001132
Provider NameDavid Rivera
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1265732010
PECOS PAC ID: 4183888951
Enrollment ID: I20120606000529
Provider NameMichael W Stapleton
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1659414894
PECOS PAC ID: 5799941449
Enrollment ID: I20120724000630
Provider NameDylan E Lewis
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1124330147
PECOS PAC ID: 0941450993
Enrollment ID: I20121029000131
Provider NameThomas J Neidenbach
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1053514182
PECOS PAC ID: 0446404719
Enrollment ID: I20130214000288
Provider NameBenjamin H Kim
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1023368222
PECOS PAC ID: 5890940845
Enrollment ID: I20130225000311
Provider NameVirak Hem
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518203561
PECOS PAC ID: 9739324963
Enrollment ID: I20130318000268
Provider NamePeggy P Hau
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1316289937
PECOS PAC ID: 8022256452
Enrollment ID: I20130524000317
Provider NameEriks Zusevics
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639504350
PECOS PAC ID: 8123254901
Enrollment ID: I20131127000293
Provider NameKarina L Kinlen
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1891036463
PECOS PAC ID: 3476782558
Enrollment ID: I20140213000252
Provider NameMatthew D Gordon
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710396494
PECOS PAC ID: 4385864479
Enrollment ID: I20141014000628
Provider NameJeremy S Abramson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114133279
PECOS PAC ID: 4981670254
Enrollment ID: I20141020001675
Provider NameMelissa F Frank
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1104251214
PECOS PAC ID: 7517289549
Enrollment ID: I20141203000071
Provider NameJonathan Dharamsy
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1568849735
PECOS PAC ID: 9234458431
Enrollment ID: I20150511001749
Provider NameChelsea M Krug
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1811379035
PECOS PAC ID: 5799091559
Enrollment ID: I20150825004554
Provider NameRobert Cesario
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1588030654
PECOS PAC ID: 6406163971
Enrollment ID: I20150916000213
Provider NameJasmine Evans
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1013373588
PECOS PAC ID: 0446554141
Enrollment ID: I20160201000318
Provider NameKyle Boudreau
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1336594282
PECOS PAC ID: 3971893504
Enrollment ID: I20160609001193
Provider NameRobert Dompeling
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710336607
PECOS PAC ID: 3173815719
Enrollment ID: I20160630000680
Provider NameBryan M Schultz
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1114374980
PECOS PAC ID: 0547556136
Enrollment ID: I20160908000046
Provider NameMegan Hyatt
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1750838280
PECOS PAC ID: 0547557944
Enrollment ID: I20160929000222
Provider NameMichael Pietrantonio
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558810002
PECOS PAC ID: 2264729599
Enrollment ID: I20160929001432
Provider NameEmily A Lira
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1669929550
PECOS PAC ID: 6608164553
Enrollment ID: I20161010002113
Provider NameDeanna Therese Moccia
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710436951
PECOS PAC ID: 7810275492
Enrollment ID: I20161102001409
Provider NameRaymond D Letke
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1245341296
PECOS PAC ID: 7416236070
Enrollment ID: I20161122002365
Provider NameKimberly A Painter
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093259525
PECOS PAC ID: 1850674391
Enrollment ID: I20170208000979
Provider NameTyler Bishop
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1023350386
PECOS PAC ID: 4789960790
Enrollment ID: I20170405001895
Provider NameErika Martin
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1568751998
PECOS PAC ID: 1153698774
Enrollment ID: I20170601000985
Provider NameEmmanuel Y Pera
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1700302080
PECOS PAC ID: 1456624659
Enrollment ID: I20170911001909
Provider NameReena Thomas Mathew
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1033645940
PECOS PAC ID: 0941574925
Enrollment ID: I20170915000019
Provider NameZack Shaw
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1154848034
PECOS PAC ID: 0547535478
Enrollment ID: I20171003006700
Provider NameKayla Epperson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1609395979
PECOS PAC ID: 7810253630
Enrollment ID: I20171113000166
Provider NameVictor Hermosillo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760702625
PECOS PAC ID: 9234302787
Enrollment ID: I20171117000497
Provider NamePrachi Patel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1932602216
PECOS PAC ID: 8426310533
Enrollment ID: I20180328002941
Provider NameJames Babana
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073096319
PECOS PAC ID: 3274887229
Enrollment ID: I20181112000694
Provider NameFrancisco Sajuan
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457829855
PECOS PAC ID: 5799029823
Enrollment ID: I20181130001162
Provider NameHetal Patel
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1851950042
PECOS PAC ID: 9537497961
Enrollment ID: I20190823000588
Provider NameLisa Josupait
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1912027160
PECOS PAC ID: 8527399278
Enrollment ID: I20191009003359
Provider NamePatrycia Robison
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1841803491
PECOS PAC ID: 4587081724
Enrollment ID: I20200902000871
Provider NameMolly R Gill
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1831692219
PECOS PAC ID: 7618230996
Enrollment ID: I20200914000431
Provider NameStephanie Bernardi
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1356874515
PECOS PAC ID: 9638598733
Enrollment ID: I20200923000263
Provider NameMegan Bryce
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1619277514
PECOS PAC ID: 0244598225
Enrollment ID: I20201113002213
Provider NameSummer Brook Smith
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1336725662
PECOS PAC ID: 5597172338
Enrollment ID: I20210324000019
Provider NameJacob Ledesma
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326648023
PECOS PAC ID: 6901212778
Enrollment ID: I20210326001329
Provider NameJillian M Mcgriff
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1306028782
PECOS PAC ID: 4981012226
Enrollment ID: I20210426001825
Provider NameKailey Becker
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1598349052
PECOS PAC ID: 3476952532
Enrollment ID: I20210524001201
Provider NameAlexandra Manning
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1306458682
PECOS PAC ID: 6608275326
Enrollment ID: I20210601001097
Provider NameKelsey Ann Mix
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518532977
PECOS PAC ID: 3476952862
Enrollment ID: I20210607000094
Provider NameDipti V Bhale
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1457744930
PECOS PAC ID: 0143530022
Enrollment ID: I20210609001954
Provider NameAmy Catherine Mammadov
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1568944569
PECOS PAC ID: 4981004033
Enrollment ID: I20210611001137
Provider NameAkram E Ibrahim
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1164099602
PECOS PAC ID: 6305246455
Enrollment ID: I20210611001252
Provider NameDevin Rose Mahoney
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1821655978
PECOS PAC ID: 0648670356
Enrollment ID: I20210617001943
Provider NameKatherine Knaapen
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1508412396
PECOS PAC ID: 3870994254
Enrollment ID: I20210623000052
Provider NameMelissa Ann Duncan
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1336650035
PECOS PAC ID: 3476954785
Enrollment ID: I20210624000480
Provider NameSarah Kelly
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1790126993
PECOS PAC ID: 4688075906
Enrollment ID: I20210624001131
Provider NameSarah Kappers
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1235754763
PECOS PAC ID: 6406257740
Enrollment ID: I20210624001598
Provider NameJaime Neidenbach
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1891240875
PECOS PAC ID: 0749681971
Enrollment ID: I20210625001209
Provider NameSarah Vogt
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1992366090
PECOS PAC ID: 1951704220
Enrollment ID: I20210723001614
Provider NameTaylor Carbonetti
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1164099149
PECOS PAC ID: 6709281835
Enrollment ID: I20210826003164
Provider NameRachel Kerr
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1265104921
PECOS PAC ID: 1759789498
Enrollment ID: I20211009000194
Provider NameEmily Shannon Murray
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1427607860
PECOS PAC ID: 2668870205
Enrollment ID: I20211012001130
Provider NameKatelyn O'grady
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1841969235
PECOS PAC ID: 1052709938
Enrollment ID: I20211026001635
Provider NameMaxwell Scott Janczak
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1902476179
PECOS PAC ID: 7719375450
Enrollment ID: I20211028001867
Provider NameKen Truong
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1851964159
PECOS PAC ID: 4385033554
Enrollment ID: I20211109001234
Provider NameKathryn Mary Riggilo
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1164185054
PECOS PAC ID: 5890184956
Enrollment ID: I20211110001772
Provider NameMatthew T Perek
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1053074690
PECOS PAC ID: 7416346028
Enrollment ID: I20211130002793
Provider NameAbigail Hill
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1093484610
PECOS PAC ID: 9133519994
Enrollment ID: I20211209001984
Provider NameLubna Abdel-mageed
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1609532977
PECOS PAC ID: 8325438138
Enrollment ID: I20211210000798
Provider NameIsabella Christine Korsgard
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1649933623
PECOS PAC ID: 9739570466
Enrollment ID: I20220106001382
Provider NameBrenda Lomeli
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1568120103
PECOS PAC ID: 8123419884
Enrollment ID: I20220106002703
Provider NameCallie Reynolds
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1427718683
PECOS PAC ID: 6800288119
Enrollment ID: I20220119000614
Provider NameElnaz Alimi
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1194345967
PECOS PAC ID: 2163815861
Enrollment ID: I20220201001751
Provider NameTami J Demay
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699738997
PECOS PAC ID: 9830117357
Enrollment ID: I20220310001079
Provider NameErika Eiesland
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1750038097
PECOS PAC ID: 8123401973
Enrollment ID: I20220811002901
Provider NameMargaret Pritchard
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710601711
PECOS PAC ID: 4082080023
Enrollment ID: I20221017002813
Provider NameCourtney Manning
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1134822059
PECOS PAC ID: 4284009275
Enrollment ID: I20230404002723
Provider NameAlexandra Johnson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1144913237
PECOS PAC ID: 9638537236
Enrollment ID: I20230613003767
Provider NameSarah Virgo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1306530829
PECOS PAC ID: 3971961103
Enrollment ID: I20230621001208
Provider NameGino John
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548717010
PECOS PAC ID: 0446505960
Enrollment ID: I20230830001474
Provider NameElias Bousheh
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1902376239
PECOS PAC ID: 3971957523
Enrollment ID: I20230929002827
Provider NameChandree Oliva Lacanlale
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1972383511
PECOS PAC ID: 2769837327
Enrollment ID: I20231017002089
Provider NameKarissa Elizabeth Sampson
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1558137257
PECOS PAC ID: 5395194609
Enrollment ID: I20231212003186

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ivyrehab Physical Therapy Pllc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ivyrehab Physical Therapy Pllc
1311 Mamaroneck Ave Ste 140,
White Plains, NY 10605-5224

Ph: (914) 294-4050		Ivyrehab Physical Therapy Pllc
204 E Washington St,
Clinton, IL 61727-1715

Ph: (217) 570-0225

Reviews and Comments


Physical Therapist in Clinton, IL

Mr. Matthew L Komnick, P.T.
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 310 E Van Buren St, Clinton, IL 61727
Phone: 217-935-4380    Fax: 217-935-0802
Carrie M Tedrick, DPT, ATC
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 215 S Grant St, Clinton, IL 61727
Phone: 904-347-6808    
Chw Physical Therapy Pc
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 101 E Side Sq, Clinton, IL 61727
Phone: 217-935-4380    Fax: 217-935-0802
Rachel Kerr, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 204 E Washington St, Clinton, IL 61727
Phone: 217-570-0225    Fax: 217-570-0227
Hughes Physical Therapy Clinic
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 100 S Center Street, Suite 201, Clinton, IL 61727
Phone: 217-935-2688    Fax: 217-935-8239
Mrs. Cheryl Dement, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 215 W White St, Clinton, IL 61727
Phone: 217-937-5224    Fax: 217-937-5360

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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