Easter Seals Children'S Development Center

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070002098 Issued in IL

Legal business name

EASTER SEALS CHILDREN'S DEVELOPMENT CENTER

Practice address

650 N Main St
Rockford, IL 61103-6921

Phone

(815) 965-6745

Fax

(815) 965-6021

NPI assigned

May 19, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Barbara Zawacki

Title

Chief Operating Officer

Phone

(312) 491-4131

Specialties & licenses 1

Addresses

Tax ID family

Easter Seals Children'S Development Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Easter Seals Children'S Development Center

  • Early Intervention Provider Agency
  • Rockford, IL
  • NPI 1073751996
  NPD tax ID

Locations

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232928000000",
    "number": "1821042474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 N MAIN ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611036921",
            "telephone_number": "815-965-6745",
            "fax_number": "815-965-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 N MAIN ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611036921",
            "telephone_number": "815-965-6745",
            "fax_number": "815-965-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS CHILDREN'S DEVELOPMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2009-01-26",
        "status": "A",
        "authorized_official_last_name": "ZAWACKI",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "312-491-4131",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070002098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ear Nose & Throat Specialists of Rockford SC
• Jeffrey S. Earhart, M.D.
• Mary Earle, LCSW
• Early Intervention Specialists
• Easter Seals Children'S Development Center
• Janice Petersen Easty, O.D.
• Gareth A Eberle, MD
• Brenda Alis Echeverria, APRN
• Joseph J Eckburg, MD
• Courtney R Eckhoff, APRN

• Physical Therapist in Rockford, IL
• Providers in Rockford, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2009; 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.