Dana Yvette Ogle, PTA
Individual provider Active NPI Physical Therapy Assistant · Petersburg, IL
NPI 1801083167 · NPPES record last updated Oct 1, 2007
Key facts
- NPI
- 1801083167
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 160-002274 (IL)
- Practice address
- 19130 Sunny Acres Rd
Petersburg, IL 62675-7306 - Phone
- (217) 632-2334
- NPI assigned
- Oct 1, 2007
- 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 |
|---|---|---|---|
| 160-002274 | IL | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 160-002274 | IL | Yes |
Addresses
Primary practice location
19130 Sunny Acres Rd
Petersburg, IL 62675-7306
Mailing address
19130 Sunny Acres Rd
Petersburg, IL 62675-7306
Phone (217) 632-2334
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160-002274 | Other | IL | PTA LICENSE |
Other names
- Mrs. Dana Yvette Marlow
Other providers in Petersburg, IL
- Menard Medical Center, LLC
- Menard Medical Center, LLC
- Tracy Ann Muller
- Clara Munyer
- David D Newton
- Petersburg Pharmacy, Inc
- Petersburg Spine & Sport Inc
- Porta Comm. Unit District 202
- Potter Pharmacy Inc
- Emilie J Redding
All providers in Petersburg, 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 Oct 1, 2007. 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.