Debora Sue Parrish, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160.002375 Issued in IL

Practice address

1250 W Carl Sandburg Dr
Galesburg, IL 61401-1329

Phone

(309) 344-5400

Fax

(309) 344-7347

NPI assigned

Nov 7, 2018

Last updated

Nov 7, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Debora Sue Slagel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1346718327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 SUNSET VIEW DR",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614018429",
            "telephone_number": "309-368-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 W CARL SANDBURG DR",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614011329",
            "telephone_number": "309-344-5400",
            "fax_number": "309-344-7347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "765 N Kellogg St",
            "address_purpose": "LOCATION",
            "city": "Galesburg",
            "state": "IL",
            "postal_code": "614012875",
            "country_code": "US",
            "telephone_number": "309-343-3434",
            "fax_number": "309-343-3434",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2345 N Seminary St",
            "address_purpose": "LOCATION",
            "city": "Galesburg",
            "state": "IL",
            "postal_code": "614011296",
            "country_code": "US",
            "telephone_number": "309-344-1300 x224",
            "fax_number": "309-344-2473",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1145 Frank St",
            "address_purpose": "LOCATION",
            "city": "Galesburg",
            "state": "IL",
            "postal_code": "614012421",
            "country_code": "US",
            "telephone_number": "309-342-2103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARRISH",
        "first_name": "DEBORA",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-07",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160.002375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBORA",
            "last_name": "SLAGEL",
            "middle_name": "SUE",
            "prefix": "MISS",
            "credential": "N/A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physical Therapy Assistant in Galesburg, IL
• Providers in Galesburg, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.