Organization Active NPI

The Inspiration and Life Enhancement

  • Orthotic Fitter
  • Rockford, IL
National Provider Identifier
1437316684
Registry record updated Aug 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthotic FitterTaxonomy code 225000000X
License
011.167276 Issued in IL
Legal business name
THE INSPIRATION AND LIFE ENHANCEMENT
Practice address
2591 N Mulford Rd
Rockford, IL 61114-5643
Phone
(815) 639-9251
Fax
(815) 877-3299
NPI assigned
May 16, 2008
Last updated
Aug 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2008

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

Authorized official

Name
Ms. Terri Jean JohnstonNPI 1225105521
Title
President
Phone
(815) 639-9251

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotic Fitter 225000000X 011.167276 IL Primary

Addresses

Primary practice location

2591 N Mulford Rd
Rockford, IL 61114-5643

Mailing address

2591 N Mulford Rd
Rockford, IL 61114-5643
Phone (815) 639-9251

National Provider Directory

National Provider Directory

Locations

109 N Show Place Dr
Rockford, IL 61107

2591 N Mulford Rd
Rockford, IL 61114
Phone (815) 639-9251

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219622400000",
    "number": "1437316684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2591 N MULFORD RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611145643",
            "telephone_number": "815-639-9251",
            "fax_number": "815-877-3299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2591 N MULFORD RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611145643",
            "telephone_number": "815-639-9251",
            "fax_number": "815-877-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE INSPIRATION AND LIFE ENHANCEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-08-25",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-639-9251",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": "IL",
            "license": "011.167276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2008; 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.