Rachel Ellen Pelton, | |
525 E Grant St, Macomb, IL 61455-3313 | |
(309) 833-4101 | |
(309) 836-1589 |
Full Name | Rachel Ellen Pelton |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 525 E Grant St, Macomb, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407179575 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 056008453 (Illinois) | Secondary |
225X00000X | Occupational Therapist | 002112 (Iowa) | Primary |
Provider Name | Fox Rehab Ot Ia Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1073274585 PECOS PAC ID: 5890180814 Enrollment ID: O20220309002281 |
Mailing Address | Practice Location Address |
---|---|
Rachel Ellen Pelton, 1123 Sweetbriar Pl, Galesburg, IL 61401-2331 Ph: (309) 833-4101 | Rachel Ellen Pelton, 525 E Grant St, Macomb, IL 61455-3313 Ph: (309) 833-4101 |
Cade Guthrie, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 E Grant St, Macomb, IL 61455 Phone: 309-833-2123 | |
Jeanne M Meehan, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 525 E Grant St, Macomb, IL 61455 Phone: 309-833-4101 Fax: 309-836-1589 | |
Mrs. Cheryl Lynn Baker, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 130 N Side Sq, Macomb, IL 61455 Phone: 309-836-3456 Fax: 309-836-5678 | |
Pediatric Therapy Services Of Macomb, Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 130 N Side Sq, Macomb, IL 61455 Phone: 309-836-3456 Fax: 309-836-5678 | |
Alison K Mixer, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 E Grant St, Macomb, IL 61455 Phone: 309-833-2123 |