Cara Lynn Bernaix
Individual provider Active NPI Physical Therapy Assistant · Godfrey, IL
NPI 1336407337 · NPPES record last updated Apr 26, 2012
Key facts
- NPI
- 1336407337
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 160.002908 (IL)
- Practice address
- 1373 Dadrian Professional Park
Godfrey, IL 62035-1767 - Phone
- (618) 468-8010
- NPI assigned
- Apr 26, 2012
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160.002908 | IL | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 160.002908 | IL | Yes |
Addresses
Primary practice location
1373 Dadrian Professional Park
Godfrey, IL 62035-1767
Mailing address
2914 N Rodgers Ave
Alton, IL 62002-8846
Phone (618) 410-3391
Other providers in Godfrey, IL
- Anna R. Smith DMD, PC
- Lori Paige Balchik
- Kymberly Barnard
- Leanne Beasley
- Sarah Ann Becker
- Ashley Berry
- Beverly Enterprises - Illinois, Inc.
- Beverly Farm Foundation
- Beverly Farm Foundation
- Beverly Farm Foundation
All providers in Godfrey, IL · Physical Therapy Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.