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EDGEBROOK PHYSICAL THERAPY INC. NPI 1477923886


NPI Information

NPI: 1477923886
Provider Name: EDGEBROOK PHYSICAL THERAPY, INC.

Doing Business As: CORA PHYSICAL THERAPY - EDGEBROOK

Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
1643 N ALPINE RD
ROCKFORD, IL
ZIP 61107
Phone: (815) 289-6942
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EDGEBROOK PHYSICAL THERAPY, INC. is a rehabilitation clinic center in Rockford, IL. EDGEBROOK PHYSICAL THERAPY, INC. NPI is 1477923886. The provider is registered as an organization entity type.
The provider Is Doing Business As Cora Physical Therapy - Edgebrook.

The provider's business location address is:

1643 N ALPINE RD
ROCKFORD, IL
ZIP 61107-462
Phone: (815) 289-6942
Fax: (815) 547-1024

The provider's authorized official is Brad C. Roush .
The authorized official title is Executive Vice President and has the following contact phone number (419) 221-6712.

The enumeration date for this NPI number is 9/28/2015 and was last updated on 10/2/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0400XClinic/CenterRehabilitationYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.