Rachel Marie Komeshak, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

705 W Hwy 50
O'Fallon, IL 62269

Phone

(618) 624-4242

Fax

(618) 624-5127

NPI assigned

Mar 19, 2007

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Midwest Spine and Rehab Corp

  • Chiropractor
  • O'Fallon, IL
  • NPI 1285830133
  NPD (past)

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821112640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "779 MERRIFIELDS DR",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622696954",
            "telephone_number": "865-216-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 W HWY 50",
            "city": "O'FALLON",
            "state": "IL",
            "postal_code": "62269",
            "telephone_number": "618-624-4242",
            "fax_number": "618-624-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMESHAK",
        "first_name": "RACHEL",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Marie Kohnen, PTA
• Torre Kohrmann, RBT
• Pawelle Kole
• Caitlyn Nicol Kolo
• Greg S Komeshak, D.C.
• Mallory Kay Kovarik, PHARMD
• Annabelle Victoria Kowalski
• Sheri Kraus
• Karijo Krebs
• Tracey Kreipe, DNP, PMHNP-BC

• Physical Therapist in O'Fallon, IL
• Providers in O'Fallon, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.