| Orthomidwest, Pllc | |
|
324 Roxbury Rd, Rockford, IL 61107-5090 | |
| (815) 398-9491 | |
| (815) 381-7498 |
| Full Name | Orthomidwest, Pllc |
|---|---|
| Type | Facility |
| Speciality | Orthopaedic Surgery |
| Location | 324 Roxbury Rd, Rockford, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730136474 | NPI | - | NPPES |
| Provider Name | Kathleen A Weber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285612259 PECOS PAC ID: 2163335993 Enrollment ID: I20031107000622 |
| Provider Name | Scott Sporer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043299795 PECOS PAC ID: 0941113781 Enrollment ID: I20031107000644 |
| Provider Name | Wayne Paprosky |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407835135 PECOS PAC ID: 0648183590 Enrollment ID: I20031110000021 |
| Provider Name | Larry Wellendorf |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790798593 PECOS PAC ID: 8325945496 Enrollment ID: I20031217000093 |
| Provider Name | Scott Trenhaile |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306951553 PECOS PAC ID: 9133021033 Enrollment ID: I20040122000165 |
| Provider Name | Todd David Alexander |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1972572139 PECOS PAC ID: 0648172122 Enrollment ID: I20040127000123 |
| Provider Name | Elizabeth Marie Pieroth |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578653960 PECOS PAC ID: 0244123172 Enrollment ID: I20040205000025 |
| Provider Name | Tracy Labahn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891911764 PECOS PAC ID: 8224926746 Enrollment ID: I20040308000201 |
| Provider Name | Shawn W Palmer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255329249 PECOS PAC ID: 8325038284 Enrollment ID: I20040513001149 |
| Provider Name | William B Weems |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003856295 PECOS PAC ID: 4486552502 Enrollment ID: I20040806000861 |
| Provider Name | Gregory Nicholson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1477532141 PECOS PAC ID: 0749193696 Enrollment ID: I20040910000742 |
| Provider Name | Nikhil Verma |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1659350353 PECOS PAC ID: 2668432527 Enrollment ID: I20041014000803 |
| Provider Name | Kenneth J Korcek |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1396850657 PECOS PAC ID: 7719941210 Enrollment ID: I20041115000942 |
| Provider Name | Rolando Izquierdo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134138027 PECOS PAC ID: 6406810431 Enrollment ID: I20041118000519 |
| Provider Name | John L Daniels |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639188519 PECOS PAC ID: 1153397096 Enrollment ID: I20041118000576 |
| Provider Name | Michael J Smerek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922272400 PECOS PAC ID: 4880642644 Enrollment ID: I20050107000658 |
| Provider Name | David J Dansdill |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1841303369 PECOS PAC ID: 3870541675 Enrollment ID: I20050108000073 |
| Provider Name | Michael Roh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1548242712 PECOS PAC ID: 7810946696 Enrollment ID: I20050119000522 |
| Provider Name | Andrzej M Jasek |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1578636692 PECOS PAC ID: 6103876529 Enrollment ID: I20050124000916 |
| Provider Name | Diane K Parrish |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639279755 PECOS PAC ID: 5092765768 Enrollment ID: I20050131000377 |
| Provider Name | Mark S Cohen |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1952380669 PECOS PAC ID: 9638082597 Enrollment ID: I20050310000807 |
| Provider Name | John Fernandez |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1245219963 PECOS PAC ID: 9931012895 Enrollment ID: I20050316000792 |
| Provider Name | William J Bush |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124131891 PECOS PAC ID: 1557264546 Enrollment ID: I20050421000044 |
| Provider Name | Kimberly R Esposito |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528375805 PECOS PAC ID: 4486694213 Enrollment ID: I20050511000083 |
| Provider Name | Christopher Sliva |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619959897 PECOS PAC ID: 9335181874 Enrollment ID: I20050525000581 |
| Provider Name | Ryan R Westerberg |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124028287 PECOS PAC ID: 2567493273 Enrollment ID: I20050823000319 |
| Provider Name | Brett Levine |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578542882 PECOS PAC ID: 5799702478 Enrollment ID: I20051101000839 |
| Provider Name | Zeeshan Ahmad |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1134126451 PECOS PAC ID: 5496723553 Enrollment ID: I20051102000939 |
| Provider Name | Angela Sue Fluhr |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528045739 PECOS PAC ID: 9931127669 Enrollment ID: I20051110000579 |
| Provider Name | Terra L Anderson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841418779 PECOS PAC ID: 6305865742 Enrollment ID: I20051115000960 |
| Provider Name | Casandra Lynn Holmes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063533172 PECOS PAC ID: 2264453703 Enrollment ID: I20051213000399 |
| Provider Name | Letitia B Barry |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831138486 PECOS PAC ID: 1456374131 Enrollment ID: I20060109000567 |
| Provider Name | Manuel J Molina |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558443705 PECOS PAC ID: 2365451739 Enrollment ID: I20060412000416 |
| Provider Name | Johnny L Lin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1447206677 PECOS PAC ID: 7719915073 Enrollment ID: I20060606000308 |
| Provider Name | Jonathan E Gallas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396770079 PECOS PAC ID: 6800809237 Enrollment ID: I20060801000113 |
| Provider Name | Howard S An |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255310157 PECOS PAC ID: 7911810874 Enrollment ID: I20060829000543 |
| Provider Name | Edward J Goldberg |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407835176 PECOS PAC ID: 0749193605 Enrollment ID: I20060830000037 |
| Provider Name | Scott W Mox |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1043210701 PECOS PAC ID: 5092725010 Enrollment ID: I20060906000134 |
| Provider Name | Kelly Sue Dow |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750304051 PECOS PAC ID: 9133159676 Enrollment ID: I20060922000291 |
| Provider Name | Lori Stuart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871533349 PECOS PAC ID: 0143226563 Enrollment ID: I20061009000018 |
| Provider Name | Robert Wysocki |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1275645319 PECOS PAC ID: 8022014398 Enrollment ID: I20061010000133 |
| Provider Name | Monica Kogan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306825435 PECOS PAC ID: 0648276865 Enrollment ID: I20061011000621 |
| Provider Name | Matthew James Allen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1083718696 PECOS PAC ID: 1557368560 Enrollment ID: I20061106000385 |
| Provider Name | Jana L Miller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720197387 PECOS PAC ID: 8729086004 Enrollment ID: I20061121000152 |
| Provider Name | Alfonzo Thomas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154497063 PECOS PAC ID: 1254330467 Enrollment ID: I20061218000233 |
| Provider Name | Christopher J Dewald |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952334948 PECOS PAC ID: 9739140161 Enrollment ID: I20070119000060 |
| Provider Name | Jason A Thompson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518073436 PECOS PAC ID: 1759484421 Enrollment ID: I20070319000048 |
| Provider Name | Shilpi Bipin Shah |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710090683 PECOS PAC ID: 4284676610 Enrollment ID: I20070416000458 |
| Provider Name | Megan M Gearhart |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275640310 PECOS PAC ID: 0143326066 Enrollment ID: I20070509000192 |
| Provider Name | Amritpal Anand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770701716 PECOS PAC ID: 3274625678 Enrollment ID: I20070815000131 |
| Provider Name | Marc A Zussman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255327326 PECOS PAC ID: 8527967892 Enrollment ID: I20070828000237 |
| Provider Name | Meredith L Payne Trost |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114068699 PECOS PAC ID: 9436243920 Enrollment ID: I20070914000020 |
| Provider Name | Geraldine A Cahill-mohen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053411926 PECOS PAC ID: 1850382524 Enrollment ID: I20070925000319 |
| Provider Name | Karla C Duda |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477749646 PECOS PAC ID: 8921194127 Enrollment ID: I20071019000048 |
| Provider Name | Bernard Adenix Yaun |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194712489 PECOS PAC ID: 2961590377 Enrollment ID: I20071119000550 |
| Provider Name | Amber Kline |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639350275 PECOS PAC ID: 7416038849 Enrollment ID: I20080111000213 |
| Provider Name | Douglas Pacaccio |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1013005867 PECOS PAC ID: 2466533419 Enrollment ID: I20080115000800 |
| Provider Name | Hany M Afram |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1528068699 PECOS PAC ID: 5597849810 Enrollment ID: I20080226000352 |
| Provider Name | Brian Bear |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164535837 PECOS PAC ID: 7517860505 Enrollment ID: I20080324000017 |
| Provider Name | Amy Lynn Krolow |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407034218 PECOS PAC ID: 9931285541 Enrollment ID: I20080324000443 |
| Provider Name | Scott J Spengel |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1285641597 PECOS PAC ID: 4981776598 Enrollment ID: I20080626000219 |
| Provider Name | Shane Nho |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1669649158 PECOS PAC ID: 2466526413 Enrollment ID: I20080808000440 |
| Provider Name | Brian Forsythe |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1770557811 PECOS PAC ID: 3375619232 Enrollment ID: I20080829000446 |
| Provider Name | Edric Schwartz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1134326770 PECOS PAC ID: 5991872707 Enrollment ID: I20080920000073 |
| Provider Name | Carlo C Castillo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881720381 PECOS PAC ID: 3173621877 Enrollment ID: I20090414000086 |
| Provider Name | Ryan C Enke |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1053320317 PECOS PAC ID: 2567466550 Enrollment ID: I20090702000361 |
| Provider Name | Amanda G Reisinger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558476374 PECOS PAC ID: 9931253846 Enrollment ID: I20090812000150 |
| Provider Name | Kim Eric Alexander |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952598567 PECOS PAC ID: 8921152414 Enrollment ID: I20090818000608 |
| Provider Name | Scott Ferry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1417178385 PECOS PAC ID: 1153475496 Enrollment ID: I20090820000401 |
| Provider Name | Dru A Kachelmuss |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215079553 PECOS PAC ID: 0941347173 Enrollment ID: I20091021000189 |
| Provider Name | Philip A Sheldon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487843835 PECOS PAC ID: 6103969704 Enrollment ID: I20100204000461 |
| Provider Name | Rachel Woker |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1891025557 PECOS PAC ID: 3779626114 Enrollment ID: I20100206000180 |
| Provider Name | Kristen Grider |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770761512 PECOS PAC ID: 8921135591 Enrollment ID: I20100430000156 |
| Provider Name | Mark L Barba |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730292400 PECOS PAC ID: 0345143335 Enrollment ID: I20100719000484 |
| Provider Name | Donna Williams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417083775 PECOS PAC ID: 9830221266 Enrollment ID: I20100720000558 |
| Provider Name | Jon Whitehurst |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508971763 PECOS PAC ID: 6608831045 Enrollment ID: I20100811000014 |
| Provider Name | Steven W Hryszczuk |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255368890 PECOS PAC ID: 9830244581 Enrollment ID: I20100824000890 |
| Provider Name | Jeffrey A Kazaglis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1295846038 PECOS PAC ID: 5597889303 Enrollment ID: I20100831000892 |
| Provider Name | Emily N Stouffer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063728202 PECOS PAC ID: 6103941745 Enrollment ID: I20100920000258 |
| Provider Name | Joshua Jacobs |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1902885841 PECOS PAC ID: 8123931086 Enrollment ID: I20101006000132 |
| Provider Name | Brian J Cole |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1659350379 PECOS PAC ID: 6901719863 Enrollment ID: I20101011000628 |
| Provider Name | Simon Lee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1922087691 PECOS PAC ID: 7113119876 Enrollment ID: I20101013000413 |
| Provider Name | Rachel Knapp Viel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841208485 PECOS PAC ID: 3678766003 Enrollment ID: I20101019000104 |
| Provider Name | Joshua A Blomgren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194981019 PECOS PAC ID: 5294929816 Enrollment ID: I20101027001438 |
| Provider Name | Matthew S Comerford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790868966 PECOS PAC ID: 0143414797 Enrollment ID: I20101028000175 |
| Provider Name | Lisa A Schuld |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164430849 PECOS PAC ID: 6406040435 Enrollment ID: I20101103000556 |
| Provider Name | Julie A Momsen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275556466 PECOS PAC ID: 4486842366 Enrollment ID: I20101220000064 |
| Provider Name | Tom D Stanley |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1710133210 PECOS PAC ID: 7618166554 Enrollment ID: I20110107000940 |
| Provider Name | Jessica Sweeney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154635886 PECOS PAC ID: 4880883248 Enrollment ID: I20110124000544 |
| Provider Name | Charles Bush Joseph |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1821077736 PECOS PAC ID: 4082527940 Enrollment ID: I20110127000968 |
| Provider Name | Kenneth P Justesen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1174607121 PECOS PAC ID: 1355527144 Enrollment ID: I20110511000754 |
| Provider Name | Madhu Kaur Singh |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1225243983 PECOS PAC ID: 3173709474 Enrollment ID: I20110523000365 |
| Provider Name | James C Poole |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306920343 PECOS PAC ID: 0143406934 Enrollment ID: I20110621000537 |
| Provider Name | Robert Richard Kim |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538243431 PECOS PAC ID: 9335325125 Enrollment ID: I20110629000443 |
| Provider Name | Brad Shufelt |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1407013832 PECOS PAC ID: 0648448712 Enrollment ID: I20110714000821 |
| Provider Name | John Bottros |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1467635524 PECOS PAC ID: 5496924078 Enrollment ID: I20110816000840 |
| Provider Name | Roman A Saldan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235213174 PECOS PAC ID: 3173709961 Enrollment ID: I20110908002234 |
| Provider Name | Courtney L Musser |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861789000 PECOS PAC ID: 0446421051 Enrollment ID: I20110912000203 |
| Provider Name | Geoffrey Van Thiel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1316103971 PECOS PAC ID: 9032380118 Enrollment ID: I20110921000515 |
| Provider Name | Heather Rennie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699921676 PECOS PAC ID: 3375715543 Enrollment ID: I20111012000148 |
| Provider Name | Roger A Bohn |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225098791 PECOS PAC ID: 2769655646 Enrollment ID: I20111109000848 |
| Provider Name | Stephanie J Carlson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487938304 PECOS PAC ID: 7012182520 Enrollment ID: I20111212000925 |
| Provider Name | Daniel J Mcquillan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205996824 PECOS PAC ID: 7012000128 Enrollment ID: I20111227000394 |
| Provider Name | Katherine E Ottesen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336425602 PECOS PAC ID: 5193991818 Enrollment ID: I20111230000384 |
| Provider Name | Stephen J Martin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1124188743 PECOS PAC ID: 7315004819 Enrollment ID: I20120127000874 |
| Provider Name | Scott A Weintraub |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861541567 PECOS PAC ID: 0840458154 Enrollment ID: I20120215000990 |
| Provider Name | Mark Kellen |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1023178647 PECOS PAC ID: 3577725134 Enrollment ID: I20120427000472 |
| Provider Name | Paul David Fulling |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1952461576 PECOS PAC ID: 5991967259 Enrollment ID: I20120502000397 |
| Provider Name | Korrin L Begy |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750610895 PECOS PAC ID: 2668634726 Enrollment ID: I20120507000479 |
| Provider Name | Benjamin Miers |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548548902 PECOS PAC ID: 2961668702 Enrollment ID: I20120724000421 |
| Provider Name | Marla Kay Magnetta |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932471877 PECOS PAC ID: 6406012160 Enrollment ID: I20120724000768 |
| Provider Name | Michelle M Lewan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407977259 PECOS PAC ID: 9931365699 Enrollment ID: I20120724000784 |
| Provider Name | Laura B Daniels |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548301419 PECOS PAC ID: 6305002932 Enrollment ID: I20120725000594 |
| Provider Name | Thomas J Lotus |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1992924617 PECOS PAC ID: 0345496709 Enrollment ID: I20120829000886 |
| Provider Name | Angela Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134475759 PECOS PAC ID: 8729237292 Enrollment ID: I20120927000755 |
| Provider Name | Kristyn N Taylor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821346958 PECOS PAC ID: 1456500750 Enrollment ID: I20121002000224 |
| Provider Name | Amy M Alderks |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1912273798 PECOS PAC ID: 3274782008 Enrollment ID: I20121011000017 |
| Provider Name | Robert T Lebeau |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861404360 PECOS PAC ID: 4284696436 Enrollment ID: I20121015000443 |
| Provider Name | Lauren Mcdevitt |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487901096 PECOS PAC ID: 6103076641 Enrollment ID: I20121018000677 |
| Provider Name | Gulshan E Pandya |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609130251 PECOS PAC ID: 5294985636 Enrollment ID: I20121022000283 |
| Provider Name | Tyler R Carroll |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184985137 PECOS PAC ID: 4880844034 Enrollment ID: I20121024000090 |
| Provider Name | Brian J Foster |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619133139 PECOS PAC ID: 0143490573 Enrollment ID: I20121107000358 |
| Provider Name | Lindsay A Mcgill |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477807840 PECOS PAC ID: 7012161300 Enrollment ID: I20130214000481 |
| Provider Name | Rosa J Delpino |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043563810 PECOS PAC ID: 3678728581 Enrollment ID: I20130226000415 |
| Provider Name | Christopher Lang Faubel |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1588855746 PECOS PAC ID: 1254224454 Enrollment ID: I20130511000108 |
| Provider Name | Jason Mikelson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336296045 PECOS PAC ID: 4385819069 Enrollment ID: I20130618000825 |
| Provider Name | Bradley J Hewlett |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1255564142 PECOS PAC ID: 9133368012 Enrollment ID: I20130626000044 |
| Provider Name | Jeffrey Earhart |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124284898 PECOS PAC ID: 6800051004 Enrollment ID: I20130715000059 |
| Provider Name | Michael I Thompson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093857849 PECOS PAC ID: 2466526066 Enrollment ID: I20130722000207 |
| Provider Name | Adam Yanke |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1639335953 PECOS PAC ID: 1355582842 Enrollment ID: I20130725000603 |
| Provider Name | Elga N Saldanha |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649307422 PECOS PAC ID: 5799929204 Enrollment ID: I20130924000570 |
| Provider Name | Zachary J Tropp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518391820 PECOS PAC ID: 2668606039 Enrollment ID: I20131018000580 |
| Provider Name | Kelly M Byrnes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1225462955 PECOS PAC ID: 3476788811 Enrollment ID: I20131021000832 |
| Provider Name | Holly Lindroth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184064545 PECOS PAC ID: 0648405332 Enrollment ID: I20131105001859 |
| Provider Name | Rachel M Wetter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053747899 PECOS PAC ID: 7618103557 Enrollment ID: I20131122001204 |
| Provider Name | Brian T Mulder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558791459 PECOS PAC ID: 1052548492 Enrollment ID: I20131216001202 |
| Provider Name | Kaitlin C Gillespie |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114348786 PECOS PAC ID: 2163652876 Enrollment ID: I20140225001356 |
| Provider Name | Jill Mchale |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942622238 PECOS PAC ID: 8123258472 Enrollment ID: I20140306000001 |
| Provider Name | Cassandra S Hefley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497932693 PECOS PAC ID: 3577723261 Enrollment ID: I20140515001682 |
| Provider Name | Frank C Bohnenkamp |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669647129 PECOS PAC ID: 2567605207 Enrollment ID: I20140718000150 |
| Provider Name | Julia R Bruene |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831418078 PECOS PAC ID: 8729206057 Enrollment ID: I20140828002303 |
| Provider Name | Matthew Wesley Colman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205002607 PECOS PAC ID: 0749439065 Enrollment ID: I20140918001253 |
| Provider Name | Jocelyn A Lawhorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275933509 PECOS PAC ID: 0345469417 Enrollment ID: I20140923000662 |
| Provider Name | Maximilian Button |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104234053 PECOS PAC ID: 6305066119 Enrollment ID: I20140930000482 |
| Provider Name | Erika J Smith |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013966159 PECOS PAC ID: 8628095486 Enrollment ID: I20141017001885 |
| Provider Name | Amanda L Foit |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023426475 PECOS PAC ID: 9931327251 Enrollment ID: I20141023000327 |
| Provider Name | Matthew D Sorensen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1477758035 PECOS PAC ID: 9830299304 Enrollment ID: I20141224001186 |
| Provider Name | Leland Gough |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184013666 PECOS PAC ID: 3577888916 Enrollment ID: I20150206000830 |
| Provider Name | Colette M Carter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164812541 PECOS PAC ID: 6204154529 Enrollment ID: I20150417000853 |
| Provider Name | Alexander Alvarez |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487045035 PECOS PAC ID: 8729309786 Enrollment ID: I20150604000578 |
| Provider Name | Jacquelyn M Roggenbuck |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1063625820 PECOS PAC ID: 9830410257 Enrollment ID: I20150610000759 |
| Provider Name | Jeremy Alland |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861755035 PECOS PAC ID: 2062733322 Enrollment ID: I20150611002440 |
| Provider Name | Colleen S Krambeck |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831518430 PECOS PAC ID: 2961714498 Enrollment ID: I20150710002567 |
| Provider Name | Leda Ghannad |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1265751127 PECOS PAC ID: 8921312141 Enrollment ID: I20150731017017 |
| Provider Name | Seong Eun Kim |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669850491 PECOS PAC ID: 0547575466 Enrollment ID: I20150820010890 |
| Provider Name | Margaret A Greyson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346623832 PECOS PAC ID: 9830406792 Enrollment ID: I20150910000613 |
| Provider Name | Lindsey E Morgan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1881060937 PECOS PAC ID: 9436467107 Enrollment ID: I20150929002168 |
| Provider Name | Kelly R Kemsley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811365026 PECOS PAC ID: 1759690118 Enrollment ID: I20151026001287 |
| Provider Name | Jillian B Walker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750754453 PECOS PAC ID: 6608176706 Enrollment ID: I20151120002507 |
| Provider Name | Allison N Cortez |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558734897 PECOS PAC ID: 2567763543 Enrollment ID: I20151216001070 |
| Provider Name | Samantha Dillon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508234576 PECOS PAC ID: 9638472814 Enrollment ID: I20160121001495 |
| Provider Name | Patrick Dungan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871755983 PECOS PAC ID: 9830245828 Enrollment ID: I20160125002577 |
| Provider Name | Adam Soliman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083879332 PECOS PAC ID: 6103078548 Enrollment ID: I20160201000560 |
| Provider Name | Brian Morgan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245690718 PECOS PAC ID: 1557666500 Enrollment ID: I20160229002157 |
| Provider Name | Jennifer Sostak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174912505 PECOS PAC ID: 2567768310 Enrollment ID: I20160304001039 |
| Provider Name | Joel Christopher Williams |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1851553374 PECOS PAC ID: 6901021765 Enrollment ID: I20160310000527 |
| Provider Name | Manoj Sreedharan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1427499441 PECOS PAC ID: 0244462463 Enrollment ID: I20160601001489 |
| Provider Name | Kevin Carlile |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942511076 PECOS PAC ID: 4587979463 Enrollment ID: I20160615000916 |
| Provider Name | John Nickless |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447699186 PECOS PAC ID: 6103117924 Enrollment ID: I20160624000682 |
| Provider Name | Pradeep Raju |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568723211 PECOS PAC ID: 4385872951 Enrollment ID: I20160627001056 |
| Provider Name | Gregory Lopez |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366754699 PECOS PAC ID: 6800039116 Enrollment ID: I20160804002402 |
| Provider Name | Stephanie M Klein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326492166 PECOS PAC ID: 2860782729 Enrollment ID: I20160825001391 |
| Provider Name | Nicole Boniquit Levy |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1447513338 PECOS PAC ID: 7214236694 Enrollment ID: I20160825002323 |
| Provider Name | Ashley A Grover |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558717280 PECOS PAC ID: 5193010221 Enrollment ID: I20160829000130 |
| Provider Name | Kyle Weiss |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295283539 PECOS PAC ID: 6002103876 Enrollment ID: I20160921002494 |
| Provider Name | Denis Nam |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114184058 PECOS PAC ID: 9032351838 Enrollment ID: I20160930000532 |
| Provider Name | Jason Stern |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1699229369 PECOS PAC ID: 5799073524 Enrollment ID: I20161011002942 |
| Provider Name | Davor Vasiljevic |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013464098 PECOS PAC ID: 3375821747 Enrollment ID: I20161107000593 |
| Provider Name | Vishrut P Naik |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1063730976 PECOS PAC ID: 7214243104 Enrollment ID: I20161212002396 |
| Provider Name | John Hickey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811433006 PECOS PAC ID: 7911280235 Enrollment ID: I20170213000907 |
| Provider Name | Raquel Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427591726 PECOS PAC ID: 1052694247 Enrollment ID: I20170214001404 |
| Provider Name | Emily Joy Dalton |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356873640 PECOS PAC ID: 3779869607 Enrollment ID: I20170407001160 |
| Provider Name | Aaron S Eyster |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033643515 PECOS PAC ID: 6507142163 Enrollment ID: I20170413001371 |
| Provider Name | Kathryn Swenson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1669851283 PECOS PAC ID: 7810209970 Enrollment ID: I20170504000019 |
| Provider Name | Victoria Heeb |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376991299 PECOS PAC ID: 1557638202 Enrollment ID: I20170530002166 |
| Provider Name | Vasili Karas |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063778413 PECOS PAC ID: 7719255249 Enrollment ID: I20170623002312 |
| Provider Name | Divya Agrawal |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1386806115 PECOS PAC ID: 9830245950 Enrollment ID: I20170724000543 |
| Provider Name | Amanda Butler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982955167 PECOS PAC ID: 6002186863 Enrollment ID: I20170727000065 |
| Provider Name | Anthony F Rizzo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033558283 PECOS PAC ID: 4880998962 Enrollment ID: I20170828000134 |
| Provider Name | Allie Van Dril |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619490125 PECOS PAC ID: 0345514220 Enrollment ID: I20170915000205 |
| Provider Name | Dovile Cvirka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306363593 PECOS PAC ID: 6103190947 Enrollment ID: I20170918003417 |
| Provider Name | Emily Marie Sommer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811415227 PECOS PAC ID: 4082989884 Enrollment ID: I20171004001938 |
| Provider Name | Liza A Dafchahi Shirani |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1003158403 PECOS PAC ID: 2769771799 Enrollment ID: I20171005002905 |
| Provider Name | Brittney Botica |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558870469 PECOS PAC ID: 0446525802 Enrollment ID: I20171027001691 |
| Provider Name | Eric Szczesniewski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215455647 PECOS PAC ID: 4587920350 Enrollment ID: I20171110000949 |
| Provider Name | Kelly Collado |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821530320 PECOS PAC ID: 1759663313 Enrollment ID: I20180322000224 |
| Provider Name | Evan Matthew Whaley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114421369 PECOS PAC ID: 0345503207 Enrollment ID: I20180406001854 |
| Provider Name | Devan Kuss |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336642743 PECOS PAC ID: 1850654476 Enrollment ID: I20180412002979 |
| Provider Name | Jorge Chahla |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1750891636 PECOS PAC ID: 1456615970 Enrollment ID: I20180522002626 |
| Provider Name | Jourdan M Cancienne |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1821433210 PECOS PAC ID: 2062641095 Enrollment ID: I20180523003010 |
| Provider Name | Ann M Vinz |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780735480 PECOS PAC ID: 4880858323 Enrollment ID: I20180615001385 |
| Provider Name | Megan Oney |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700378809 PECOS PAC ID: 6204182678 Enrollment ID: I20180627003917 |
| Provider Name | Nicholas Christopher Brissey |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1801258629 PECOS PAC ID: 6901194091 Enrollment ID: I20180814000504 |
| Provider Name | Kathryn Anne Kropski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1346210234 PECOS PAC ID: 6507115128 Enrollment ID: I20180815001705 |
| Provider Name | Ronna D Bayot |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235486234 PECOS PAC ID: 9830449511 Enrollment ID: I20180829003562 |
| Provider Name | Grant Edward Garrigues |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1609040575 PECOS PAC ID: 1557533098 Enrollment ID: I20180830001990 |
| Provider Name | Lauren G Osterbrock Gornick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659857696 PECOS PAC ID: 6800146051 Enrollment ID: I20180910000213 |
| Provider Name | Brianne A Chase |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760964522 PECOS PAC ID: 6507118775 Enrollment ID: I20181017000124 |
| Provider Name | Caitlin Schober |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740790211 PECOS PAC ID: 1153674064 Enrollment ID: I20181023001881 |
| Provider Name | Adam M. Carlson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780080846 PECOS PAC ID: 4284958166 Enrollment ID: I20181101000748 |
| Provider Name | Merrin Thomas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811476542 PECOS PAC ID: 5395098701 Enrollment ID: I20181101002527 |
| Provider Name | Gina T Gedutis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700363827 PECOS PAC ID: 3274886411 Enrollment ID: I20181105002606 |
| Provider Name | Paul Alpert C Regacho |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457826380 PECOS PAC ID: 7911250675 Enrollment ID: I20181115000165 |
| Provider Name | Bryce Renicker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114493905 PECOS PAC ID: 6305190901 Enrollment ID: I20181119000680 |
| Provider Name | Saad Tariq |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1497098636 PECOS PAC ID: 0840439329 Enrollment ID: I20181120000100 |
| Provider Name | Alissa Marie Winner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770045049 PECOS PAC ID: 8224370317 Enrollment ID: I20190418002437 |
| Provider Name | Rachel Lennon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497229470 PECOS PAC ID: 2062754013 Enrollment ID: I20190424000207 |
| Provider Name | Evan Lines |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265931562 PECOS PAC ID: 8123388204 Enrollment ID: I20190510000950 |
| Provider Name | Deanna M Longley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871055954 PECOS PAC ID: 6002149077 Enrollment ID: I20190605003161 |
| Provider Name | Mark Robert Gannon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093737397 PECOS PAC ID: 0345274445 Enrollment ID: I20190611002171 |
| Provider Name | Beck Chase |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790343838 PECOS PAC ID: 1850625443 Enrollment ID: I20190702001637 |
| Provider Name | Ellen Pavlovic |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649447947 PECOS PAC ID: 0547595571 Enrollment ID: I20190715000513 |
| Provider Name | Nishant Sadana |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1194082446 PECOS PAC ID: 6002077823 Enrollment ID: I20190722003079 |
| Provider Name | Kathryn Blanchard |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144715749 PECOS PAC ID: 4284960139 Enrollment ID: I20190730002505 |
| Provider Name | Xavier C Simcock |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679700116 PECOS PAC ID: 0042478794 Enrollment ID: I20190815003667 |
| Provider Name | Patrick Ives |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780143180 PECOS PAC ID: 3476881103 Enrollment ID: I20190820000998 |
| Provider Name | Paige A Lyford |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861058950 PECOS PAC ID: 1254669435 Enrollment ID: I20190826003593 |
| Provider Name | Shaun Ernst |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255993564 PECOS PAC ID: 8527396712 Enrollment ID: I20190827000070 |
| Provider Name | Hsuan Wei Kang |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306331764 PECOS PAC ID: 5890044119 Enrollment ID: I20190905003086 |
| Provider Name | Heather A Owens |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124680640 PECOS PAC ID: 3779812367 Enrollment ID: I20190906002032 |
| Provider Name | Patrick Brian Mulligan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1326433467 PECOS PAC ID: 8628371242 Enrollment ID: I20190910003165 |
| Provider Name | Christine M Moore |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093371197 PECOS PAC ID: 1456680875 Enrollment ID: I20190911000468 |
| Provider Name | Marit Elizabeth Mikkelsen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679121636 PECOS PAC ID: 9739418039 Enrollment ID: I20190912000036 |
| Provider Name | Derek M Jones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356804876 PECOS PAC ID: 0941530356 Enrollment ID: I20190927001936 |
| Provider Name | Erin S Harrison |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497199749 PECOS PAC ID: 7911146261 Enrollment ID: I20191004000558 |
| Provider Name | Dylan C Jurcik |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336799683 PECOS PAC ID: 1557692563 Enrollment ID: I20191004002627 |
| Provider Name | Nicholas J Petronovich |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497304604 PECOS PAC ID: 3779814009 Enrollment ID: I20191017000388 |
| Provider Name | Sarah Sayeed |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619487485 PECOS PAC ID: 0547592818 Enrollment ID: I20191106001469 |
| Provider Name | Raquel Heyman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598307837 PECOS PAC ID: 9032542170 Enrollment ID: I20191204001400 |
| Provider Name | Rhonda Owens |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639527831 PECOS PAC ID: 7911330758 Enrollment ID: I20191209001293 |
| Provider Name | Arron Dennis Buck |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285296459 PECOS PAC ID: 3476986266 Enrollment ID: I20191210000025 |
| Provider Name | Megan D Yerkes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275170904 PECOS PAC ID: 8820421621 Enrollment ID: I20191210000463 |
| Provider Name | Suzanne R Workman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831755024 PECOS PAC ID: 8628402625 Enrollment ID: I20191230000160 |
| Provider Name | Tori Homb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922646942 PECOS PAC ID: 6608201330 Enrollment ID: I20200127001183 |
| Provider Name | Kelsey Kunkelmann |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962034595 PECOS PAC ID: 3870921471 Enrollment ID: I20200313001113 |
| Provider Name | Michael A Tulman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548889538 PECOS PAC ID: 8123459146 Enrollment ID: I20200507000725 |
| Provider Name | Craig Best |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1316233356 PECOS PAC ID: 9537453733 Enrollment ID: I20200610000802 |
| Provider Name | Amanda Swartz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093368862 PECOS PAC ID: 7012245525 Enrollment ID: I20200612002332 |
| Provider Name | Anna R Gibbons |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578180105 PECOS PAC ID: 2062835952 Enrollment ID: I20200710001763 |
| Provider Name | Jacqueline L Kannan |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1588058606 PECOS PAC ID: 3779897764 Enrollment ID: I20200716001660 |
| Provider Name | Krista L Carlson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730705732 PECOS PAC ID: 2769806132 Enrollment ID: I20200717000919 |
| Provider Name | Cort Daniel Lawton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255759528 PECOS PAC ID: 8921303108 Enrollment ID: I20200722003348 |
| Provider Name | Austin M Barger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1174140339 PECOS PAC ID: 8224453089 Enrollment ID: I20200811000286 |
| Provider Name | Genevieve Joy Owen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356968374 PECOS PAC ID: 9133546500 Enrollment ID: I20200831001573 |
| Provider Name | Madeline Joy Janusevic |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992356265 PECOS PAC ID: 0840626230 Enrollment ID: I20200902001800 |
| Provider Name | Christopher M Sbertoli |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538483599 PECOS PAC ID: 0547685869 Enrollment ID: I20200904001153 |
| Provider Name | Erin B Thomas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821613274 PECOS PAC ID: 1153748116 Enrollment ID: I20200905000108 |
| Provider Name | Natasha Marie Vanderlinden |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1609481332 PECOS PAC ID: 3779902572 Enrollment ID: I20200929000167 |
| Provider Name | Joseph Virgilio Pablo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1124630140 PECOS PAC ID: 9537579099 Enrollment ID: I20201112000399 |
| Provider Name | Sarah A Vaughn |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821697897 PECOS PAC ID: 3779994124 Enrollment ID: I20201202001229 |
| Provider Name | Jennifer F Sprenzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124624762 PECOS PAC ID: 5991117517 Enrollment ID: I20201223000883 |
| Provider Name | Branden Cater |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497342893 PECOS PAC ID: 4789098468 Enrollment ID: I20210121001388 |
| Provider Name | Gadini Odelin Delisca |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1811377864 PECOS PAC ID: 6709194491 Enrollment ID: I20210125001672 |
| Provider Name | Kelsey R Montana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538750690 PECOS PAC ID: 8820404015 Enrollment ID: I20210313000069 |
| Provider Name | Brett A Mcwilliams |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457880445 PECOS PAC ID: 8224307988 Enrollment ID: I20210426002861 |
| Provider Name | Mark A Oyer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1679968812 PECOS PAC ID: 7416252267 Enrollment ID: I20210628002113 |
| Provider Name | Vanessa Owusu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366011611 PECOS PAC ID: 1951703081 Enrollment ID: I20210713001137 |
| Provider Name | Daniel D Bohl |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1336521582 PECOS PAC ID: 1153611314 Enrollment ID: I20210714000462 |
| Provider Name | Michael J Harvey |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760878748 PECOS PAC ID: 2163724329 Enrollment ID: I20210721000914 |
| Provider Name | Chang Ha Doh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982252557 PECOS PAC ID: 2961805445 Enrollment ID: I20210721001296 |
| Provider Name | Emily Bielaga |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033781752 PECOS PAC ID: 4981007242 Enrollment ID: I20210723001069 |
| Provider Name | Omar Behery |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215316484 PECOS PAC ID: 6901144310 Enrollment ID: I20210726002531 |
| Provider Name | Trevor Schott |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1831570498 PECOS PAC ID: 1557678612 Enrollment ID: I20210727001364 |
| Provider Name | Caitlin Nicholson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1326579327 PECOS PAC ID: 6305113390 Enrollment ID: I20210728002365 |
| Provider Name | Ehab H Yasin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1902255417 PECOS PAC ID: 3678868205 Enrollment ID: I20210730002366 |
| Provider Name | Giovanni Incandela |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1932693744 PECOS PAC ID: 7810245925 Enrollment ID: I20210809001071 |
| Provider Name | Brianna Meinke |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427409671 PECOS PAC ID: 6507260577 Enrollment ID: I20210812003136 |
| Provider Name | Megan S Kaminski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043841711 PECOS PAC ID: 9739584756 Enrollment ID: I20210828000115 |
| Provider Name | Robert Paul Bohnenstiehl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881367712 PECOS PAC ID: 1658777347 Enrollment ID: I20210903000995 |
| Provider Name | Ann Marie Robles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679247423 PECOS PAC ID: 6709282353 Enrollment ID: I20210907001008 |
| Provider Name | Joshua Robert Hrudicka |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104594894 PECOS PAC ID: 1850797176 Enrollment ID: I20210910001691 |
| Provider Name | Binoli Hardik Mehta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871095547 PECOS PAC ID: 3678971728 Enrollment ID: I20211005000504 |
| Provider Name | Karen Olinger-granato |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255095782 PECOS PAC ID: 1254720535 Enrollment ID: I20211106000107 |
| Provider Name | Albin J Mutholam |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376213389 PECOS PAC ID: 6103215264 Enrollment ID: I20211110002078 |
| Provider Name | Brock Prizel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417612144 PECOS PAC ID: 2769871672 Enrollment ID: I20211116000197 |
| Provider Name | Ted Steven Peterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275106254 PECOS PAC ID: 3476943317 Enrollment ID: I20211208000315 |
| Provider Name | Victoria R Tiberi |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578221156 PECOS PAC ID: 0042600611 Enrollment ID: I20211214002101 |
| Provider Name | Kara Glavan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245907906 PECOS PAC ID: 9335530351 Enrollment ID: I20211230001888 |
| Provider Name | Rahul Ravindran |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861060915 PECOS PAC ID: 6608261599 Enrollment ID: I20220310002187 |
| Provider Name | Gina Delgado |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598414088 PECOS PAC ID: 3779979661 Enrollment ID: I20220331003059 |
| Provider Name | Kayla Justice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780340992 PECOS PAC ID: 2769873074 Enrollment ID: I20220411000673 |
| Provider Name | Jonathon Oconnor |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710233200 PECOS PAC ID: 1456504299 Enrollment ID: I20220418000924 |
| Provider Name | Alla Dubenets |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457966079 PECOS PAC ID: 8224425384 Enrollment ID: I20220420002046 |
| Provider Name | Samantha Knapp |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033799929 PECOS PAC ID: 2062809460 Enrollment ID: I20220504001373 |
| Provider Name | Brittney P Vanes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932844479 PECOS PAC ID: 2163819624 Enrollment ID: I20220510002673 |
| Provider Name | David B Hughes |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356819379 PECOS PAC ID: 8123405909 Enrollment ID: I20220517001227 |
| Provider Name | Dustin Heath Massel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144751249 PECOS PAC ID: 3072990019 Enrollment ID: I20220524003178 |
| Provider Name | Timothy Keating |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912437831 PECOS PAC ID: 6002187515 Enrollment ID: I20220530000114 |
| Provider Name | Yehuda Kerbel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1639608797 PECOS PAC ID: 7911384540 Enrollment ID: I20220607003346 |
| Provider Name | Zhe Liang |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1417478660 PECOS PAC ID: 9335410281 Enrollment ID: I20220614001598 |
| Provider Name | Abigail A Misenheimer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659957660 PECOS PAC ID: 3375922255 Enrollment ID: I20220623001335 |
| Provider Name | Neal K Shah |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1356872576 PECOS PAC ID: 2769759414 Enrollment ID: I20220625000286 |
| Provider Name | Husna M Siddiqui |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1396108825 PECOS PAC ID: 3971890872 Enrollment ID: I20220625000430 |
| Provider Name | Adriana Francesca Geraci |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588303101 PECOS PAC ID: 2365822533 Enrollment ID: I20220706000304 |
| Provider Name | Michelle Cantave |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871851394 PECOS PAC ID: 0547640435 Enrollment ID: I20220709000288 |
| Provider Name | Aaron M Buldak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942930805 PECOS PAC ID: 4183005689 Enrollment ID: I20220714002695 |
| Provider Name | Dean Coulter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1326777137 PECOS PAC ID: 2567843758 Enrollment ID: I20220719003100 |
| Provider Name | Megan Michelle Sandilands |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437888674 PECOS PAC ID: 3173904208 Enrollment ID: I20220720000983 |
| Provider Name | Emily Hess |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194456913 PECOS PAC ID: 4789066457 Enrollment ID: I20220728001199 |
| Provider Name | Benjamin Joel Carter |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336881895 PECOS PAC ID: 2668855487 Enrollment ID: I20220811001593 |
| Provider Name | Kristen Satala |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760111736 PECOS PAC ID: 4789067836 Enrollment ID: I20220823000549 |
| Provider Name | Nitin Goyal |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437548120 PECOS PAC ID: 9739471855 Enrollment ID: I20220823002764 |
| Provider Name | Arash Sayari |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760837249 PECOS PAC ID: 9234422676 Enrollment ID: I20220823003482 |
| Provider Name | Eva Rusnak |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1194215293 PECOS PAC ID: 9436533049 Enrollment ID: I20220831002019 |
| Provider Name | Karey Foster |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1861001257 PECOS PAC ID: 6709289986 Enrollment ID: I20220902002444 |
| Provider Name | Elizabeth Gibbs |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114658085 PECOS PAC ID: 2860875945 Enrollment ID: I20220920003595 |
| Provider Name | Madeline E Ringer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699406819 PECOS PAC ID: 0941685325 Enrollment ID: I20220921001899 |
| Provider Name | Delaney Mahon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366191132 PECOS PAC ID: 2769858968 Enrollment ID: I20221012003694 |
| Provider Name | Hannah Schumacher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730811639 PECOS PAC ID: 6507232766 Enrollment ID: I20221013001736 |
| Provider Name | Sara S Rundgren |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1801521752 PECOS PAC ID: 8325414170 Enrollment ID: I20221019000441 |
| Provider Name | Michelle Muszynski |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275181604 PECOS PAC ID: 7214331628 Enrollment ID: I20221019001628 |
| Provider Name | Stanley Shaji Kurian |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417672981 PECOS PAC ID: 1153797709 Enrollment ID: I20221021002318 |
| Provider Name | Kyle T Bergan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114490224 PECOS PAC ID: 6204262264 Enrollment ID: I20221102003359 |
| Provider Name | Colin M Mccarey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215667746 PECOS PAC ID: 6709253842 Enrollment ID: I20221103000228 |
| Provider Name | Nikolas H Psarros |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902523426 PECOS PAC ID: 7214304807 Enrollment ID: I20221111000232 |
| Provider Name | Sara Schroeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700594264 PECOS PAC ID: 8123497542 Enrollment ID: I20221207000822 |
| Provider Name | Michael J Grzetic |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144711482 PECOS PAC ID: 7911252002 Enrollment ID: I20221207002039 |
| Provider Name | Melissa A Ruemelin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205546298 PECOS PAC ID: 1052781424 Enrollment ID: I20221228003099 |
| Provider Name | Giacomo Raimondi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073239901 PECOS PAC ID: 9537539341 Enrollment ID: I20230111002141 |
| Provider Name | Samantha R Kauchak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689398521 PECOS PAC ID: 7214307024 Enrollment ID: I20230111002318 |
| Provider Name | Jennifer Panasewicz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831803923 PECOS PAC ID: 5496126385 Enrollment ID: I20230201002100 |
| Provider Name | Samir Mohammed Baig |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1225286941 PECOS PAC ID: 2264751759 Enrollment ID: I20230202003108 |
| Provider Name | Richard Danilkowicz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982100897 PECOS PAC ID: 9830562404 Enrollment ID: I20230309001174 |
| Provider Name | Nirav Nagarsheth |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1457858318 PECOS PAC ID: 3577937655 Enrollment ID: I20230314000875 |
| Provider Name | Zachary C Hanson |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1265939797 PECOS PAC ID: 7416322615 Enrollment ID: I20230330002670 |
| Provider Name | Stephanie Boden |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1770089450 PECOS PAC ID: 6709132442 Enrollment ID: I20230404001042 |
| Provider Name | Chihua Lee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437544137 PECOS PAC ID: 8628349628 Enrollment ID: I20230411000631 |
| Provider Name | Tammy Carlson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649977786 PECOS PAC ID: 5092170233 Enrollment ID: I20230424000729 |
| Provider Name | John Scanaliato |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1962908640 PECOS PAC ID: 0446623961 Enrollment ID: I20230425002065 |
| Provider Name | Kasondra Lamere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679962112 PECOS PAC ID: 7719342682 Enrollment ID: I20230427001955 |
| Provider Name | Rachel Allison Schneider |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831898428 PECOS PAC ID: 6305201930 Enrollment ID: I20230503001718 |
| Provider Name | Ernesto Garcia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841642881 PECOS PAC ID: 6901261486 Enrollment ID: I20230505001964 |
| Provider Name | Anthony Lee Logli |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1104356831 PECOS PAC ID: 7719259910 Enrollment ID: I20230509001192 |
| Provider Name | Gregory T Minutillo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1730674003 PECOS PAC ID: 3971847609 Enrollment ID: I20230509001667 |
| Provider Name | Katarina Nicole Pong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1700598794 PECOS PAC ID: 3072979053 Enrollment ID: I20230517001292 |
| Provider Name | Jeremiah Pflederer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124551932 PECOS PAC ID: 4284014978 Enrollment ID: I20230518000955 |
| Provider Name | Eric J Cotter |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1346746021 PECOS PAC ID: 4486901352 Enrollment ID: I20230613002953 |
| Provider Name | Jamil Kendall |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1508360819 PECOS PAC ID: 9335499490 Enrollment ID: I20230614000037 |
| Provider Name | Jonathan Henry Shaw |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912498874 PECOS PAC ID: 6204182827 Enrollment ID: I20230620002584 |
| Provider Name | Justirini D Corpuz |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1619652492 PECOS PAC ID: 2769842335 Enrollment ID: I20230713002940 |
| Provider Name | Mark Lewis Dunleavy |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1689165318 PECOS PAC ID: 6608233408 Enrollment ID: I20230719000631 |
| Provider Name | Zachary Hershel Goldstein |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790215515 PECOS PAC ID: 1850669672 Enrollment ID: I20230720004034 |
| Provider Name | Giuliana Rotunno |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1669976577 PECOS PAC ID: 6305194960 Enrollment ID: I20230725001458 |
| Provider Name | Joshua Wright-chisem |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215460928 PECOS PAC ID: 8426382490 Enrollment ID: I20230726001460 |
| Provider Name | Monique M Steele |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093413197 PECOS PAC ID: 7416318258 Enrollment ID: I20230726003839 |
| Provider Name | Rebecca Metcalf |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1922723451 PECOS PAC ID: 3870954621 Enrollment ID: I20230726003917 |
| Provider Name | Viktor Tollemar |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073005849 PECOS PAC ID: 6709132921 Enrollment ID: I20230727001816 |
| Provider Name | Emily E Ditsch |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1972299790 PECOS PAC ID: 1951762558 Enrollment ID: I20230730000023 |
| Provider Name | Victoria Marie Springman |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437836301 PECOS PAC ID: 5991167785 Enrollment ID: I20230810001660 |
| Provider Name | Erin Holt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962186593 PECOS PAC ID: 3577925783 Enrollment ID: I20230818001764 |
| Provider Name | Hope Siegel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275206310 PECOS PAC ID: 7517363427 Enrollment ID: I20230821000745 |
| Provider Name | Cynthia Anh Grams |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770266736 PECOS PAC ID: 9830552306 Enrollment ID: I20230830004207 |
| Provider Name | Umber Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083957153 PECOS PAC ID: 1557599941 Enrollment ID: I20230907001960 |
| Provider Name | Nathan P Wisbey |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992491120 PECOS PAC ID: 3577927581 Enrollment ID: I20230908003142 |
| Provider Name | Kamil Okroj |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1285166280 PECOS PAC ID: 8921342056 Enrollment ID: I20230918000926 |
| Provider Name | Zachary James Valavanis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215625272 PECOS PAC ID: 9335593631 Enrollment ID: I20230920001662 |
| Provider Name | Anna Nelsen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962412171 PECOS PAC ID: 0840299061 Enrollment ID: I20231016002963 |
| Provider Name | Alexis Cheyenne Kessinger |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1891570123 PECOS PAC ID: 2769838671 Enrollment ID: I20231030001680 |
| Provider Name | Katelyn Copeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871371930 PECOS PAC ID: 2062860091 Enrollment ID: I20231130002515 |
| Provider Name | Lily Lucas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982470407 PECOS PAC ID: 4789033689 Enrollment ID: I20231216000375 |
| Provider Name | Anne Jelica Denise Panganiban |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659060861 PECOS PAC ID: 1456701994 Enrollment ID: I20231227000558 |
| Provider Name | Joanna Dudek |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902369325 PECOS PAC ID: 1759716368 Enrollment ID: I20240208001315 |
| Provider Name | John William Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1417641077 PECOS PAC ID: 5294178984 Enrollment ID: I20240209001463 |
| Provider Name | Kelley Wilson |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114789401 PECOS PAC ID: 9638512734 Enrollment ID: I20240216002237 |
| Provider Name | Andrew Bi |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235594482 PECOS PAC ID: 1052645942 Enrollment ID: I20240315000543 |
| Provider Name | Nicholas Lemme |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1649761008 PECOS PAC ID: 6103171665 Enrollment ID: I20240326000835 |
| Provider Name | Noah Lasky |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013781178 PECOS PAC ID: 1850738774 Enrollment ID: I20240327000485 |
| Provider Name | Anita Lindsay Tyree |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1184354078 PECOS PAC ID: 7012355704 Enrollment ID: I20240401000716 |
| Provider Name | Mariola Grzeszczyk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003425463 PECOS PAC ID: 8628416344 Enrollment ID: I20240401001592 |
| Provider Name | David Raymond Christian |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1487115648 PECOS PAC ID: 5890029672 Enrollment ID: I20240416004312 |
| Provider Name | Mayank Aranke |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144859422 PECOS PAC ID: 7315386331 Enrollment ID: I20240423002705 |
| Provider Name | Kevin Michael Becker |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1093277303 PECOS PAC ID: 3779816541 Enrollment ID: I20240426001383 |
| Provider Name | Rebecca Karnezis |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437878782 PECOS PAC ID: 3375927387 Enrollment ID: I20240426001802 |
| Provider Name | Matthew Mangini |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1114308608 PECOS PAC ID: 8426337338 Enrollment ID: I20240430002401 |
| Provider Name | Jennifer Marie Sobek |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427301720 PECOS PAC ID: 5698920882 Enrollment ID: I20240507002532 |
| Provider Name | Jennifer Kurowicki |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1952964454 PECOS PAC ID: 6608217179 Enrollment ID: I20240515001147 |
| Provider Name | Jose Vega |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255894556 PECOS PAC ID: 3577806165 Enrollment ID: I20240521003518 |
| Provider Name | Kurtis David Carlock |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245791458 PECOS PAC ID: 6406189646 Enrollment ID: I20240529000577 |
| Provider Name | Emilee S Crabbe |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1366200859 PECOS PAC ID: 6608318001 Enrollment ID: I20240612002529 |
| Provider Name | Matas Orentas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396303004 PECOS PAC ID: 0547595704 Enrollment ID: I20240612002622 |
| Provider Name | Paul Weatherby |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790341584 PECOS PAC ID: 1759616444 Enrollment ID: I20240612003097 |
| Provider Name | Thomas Moran |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1912467044 PECOS PAC ID: 0042545147 Enrollment ID: I20240613001499 |
| Provider Name | Shoueb Malik |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1194301622 PECOS PAC ID: 6305246091 Enrollment ID: I20240613002570 |
| Provider Name | Nathan Lee |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1174028633 PECOS PAC ID: 1951768118 Enrollment ID: I20240613003493 |
| Provider Name | David Thom |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1902484405 PECOS PAC ID: 1153864749 Enrollment ID: I20240624004388 |
| Provider Name | Edward Shin Hur |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1356835136 PECOS PAC ID: 4284982778 Enrollment ID: I20240627000361 |
| Provider Name | Arthur W Baker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336989805 PECOS PAC ID: 4688118250 Enrollment ID: I20240708000772 |
| Provider Name | Nicole R Cwik |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1780425504 PECOS PAC ID: 5294270682 Enrollment ID: I20240710000873 |
| Provider Name | Chloe Michelle Maciolek |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639912264 PECOS PAC ID: 1355887803 Enrollment ID: I20240725002251 |
| Provider Name | Nina M Hendler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1154162360 PECOS PAC ID: 9537605324 Enrollment ID: I20240729003865 |
| Provider Name | Daniel Randar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1093599961 PECOS PAC ID: 6103289335 Enrollment ID: I20240807000899 |
| Provider Name | Marissa Wayne |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942040183 PECOS PAC ID: 7113463514 Enrollment ID: I20240821003529 |
| Provider Name | Robert Allen Burnett |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164914198 PECOS PAC ID: 4789931502 Enrollment ID: I20240828000881 |
| Provider Name | Hannah M Alt |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1043070816 PECOS PAC ID: 2668912718 Enrollment ID: I20240904003169 |
| Provider Name | Elizabeth Bailey Terhune |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386137990 PECOS PAC ID: 8224384524 Enrollment ID: I20240909002267 |
| Provider Name | Kaitlin W Young |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962253443 PECOS PAC ID: 1557801255 Enrollment ID: I20240909003414 |
| Provider Name | Kaitlyn M White |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1427808229 PECOS PAC ID: 6709326408 Enrollment ID: I20240909003594 |
| Provider Name | Brian Tong |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649009473 PECOS PAC ID: 6204376478 Enrollment ID: I20240913003611 |
| Provider Name | Annalesa Leigh Maggio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811734296 PECOS PAC ID: 3678014743 Enrollment ID: I20240917003888 |
| Provider Name | Katherine A Chu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1518709526 PECOS PAC ID: 9335670561 Enrollment ID: I20240930000849 |
| Provider Name | Michael Thomas Pawlowski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497597900 PECOS PAC ID: 1658802277 Enrollment ID: I20241007000750 |
| Provider Name | Jennifer Kick |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730551938 PECOS PAC ID: 8022310440 Enrollment ID: I20241010000856 |
| Provider Name | Megan Grobelny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326890997 PECOS PAC ID: 1951836600 Enrollment ID: I20241119001166 |
| Provider Name | Jared Sivinski |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033932439 PECOS PAC ID: 8123555091 Enrollment ID: I20241217003177 |
| Provider Name | John Martin Barrett |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821834375 PECOS PAC ID: 4880121219 Enrollment ID: I20241226001237 |
| Provider Name | Aramide A Ponnle |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437968559 PECOS PAC ID: 2567990989 Enrollment ID: I20250114000749 |
| Provider Name | Kyle Nash Kunze |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1790311793 PECOS PAC ID: 6507396678 Enrollment ID: I20250205004032 |
| Provider Name | Faisal Akram |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558990747 PECOS PAC ID: 7012331614 Enrollment ID: I20250206002583 |
| Provider Name | Joseph Brinkman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1619532553 PECOS PAC ID: 8527481670 Enrollment ID: I20250206003230 |
| Provider Name | Zaamin Bashey Hussain |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1073134060 PECOS PAC ID: 5395275234 Enrollment ID: I20250207001572 |
| Provider Name | Yining Lu |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1346867843 PECOS PAC ID: 6204250418 Enrollment ID: I20250210001557 |
| Provider Name | Mohit Gupta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366043440 PECOS PAC ID: 2860889128 Enrollment ID: I20250211003846 |
| Provider Name | Bailey Zinanni |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053168419 PECOS PAC ID: 6103347166 Enrollment ID: I20250306000686 |
| Provider Name | Alexis L Fletcher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1437955317 PECOS PAC ID: 0749701357 Enrollment ID: I20250311002088 |
| Provider Name | Micah Rose Richardson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376004424 PECOS PAC ID: 6800123175 Enrollment ID: I20250312002370 |
| Provider Name | Kristen Barton |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942012893 PECOS PAC ID: 4981134392 Enrollment ID: I20250313003013 |
| Provider Name | Claire Marie Mcdaniel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1164087821 PECOS PAC ID: 3971027426 Enrollment ID: I20250407001960 |
| Provider Name | Kirstin Kuo-tung Wu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538795612 PECOS PAC ID: 6002246196 Enrollment ID: I20250407002332 |
| Provider Name | Roel Sanchez Baez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871121822 PECOS PAC ID: 1052835055 Enrollment ID: I20250411001556 |
| Provider Name | Sumail Bhogal |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1700449790 PECOS PAC ID: 2961736566 Enrollment ID: I20250414003345 |
| Provider Name | Stephanie S Newton |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508160797 PECOS PAC ID: 9537684915 Enrollment ID: I20250417002626 |
| Provider Name | Nora Brown |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699571802 PECOS PAC ID: 5890210926 Enrollment ID: I20250421003024 |
| Provider Name | Brian Velasco |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1386272144 PECOS PAC ID: 0941611032 Enrollment ID: I20250501001301 |
| Provider Name | Dalton Jared Boland |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1841846383 PECOS PAC ID: 8527498674 Enrollment ID: I20250512001517 |
| Provider Name | Chizitam Ibezim |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1003470295 PECOS PAC ID: 3375068646 Enrollment ID: I20250514000249 |
| Provider Name | Terah Hennick |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1023647831 PECOS PAC ID: 2163845967 Enrollment ID: I20250527003470 |
| Provider Name | Patrick Robinson |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1417607037 PECOS PAC ID: 5496136608 Enrollment ID: I20250610002804 |
| Mailing Address | Practice Location Address |
|---|---|
| Orthomidwest, Pllc Po Box 735263, Chicago, IL 60673-5263 Ph: (815) 398-9491 | Orthomidwest, Pllc 324 Roxbury Rd, Rockford, IL 61107-5090 Ph: (815) 398-9491 |