Petalber Therapy Services

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

060009899 Issued in IL

Legal business name

PETALBER THERAPY SERVICES

Practice address

7264 Argus Drive
Rockford, IL 61107-5837

Phone

(815) 229-8690

Fax

(815) 229-8695

NPI assigned

Sep 29, 2008

Organization subpart

No

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

Authorized official

Name

Bernadette Petalber, PT

Title

President

Phone

(815) 298-8587

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1222646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1487804324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7264 ARGUS DRIVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075837",
            "telephone_number": "815-229-8690",
            "fax_number": "815-229-8695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7264 ARGUS DRIVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075837",
            "telephone_number": "815-229-8690",
            "fax_number": "815-229-8695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PETALBER THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-29",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "PETALBER",
        "authorized_official_first_name": "BERNADETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-298-8587",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "060009899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cecily Devon Perry
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• Julia R Pesavento, D.M.D.
• Catharin Peters, APRN
• Chloe Peters
• Kelly Anne Peters, DPT
• Jennifer A Petersen, O.T.R.
• Gary Phillip Peterson, PHARMD

• Physical Therapy Clinic/Center in Rockford, IL
• Providers in Rockford, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 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.