Priya Ipsen
Individual provider Active NPI Physical Therapy Assistant · Gifford, IL
NPI 1821406869 · NPPES record last updated Jul 22, 2014
Key facts
- NPI
- 1821406869
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 160.003278 (IL)
- Practice address
- 2304 County Rd 3000 N
Country Health Care & Rehab
Gifford, IL 61847 - Phone
- (217) 568-7362
- NPI assigned
- Jul 22, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 160.003278 | IL | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Outpatient Services Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 160.003278 | IL | Yes |
Addresses
Primary practice location
2304 County Rd 3000 N
Country Health Care & Rehab
Gifford, IL 61847
Mailing address
550 Frontage Rd Suite 2415
Select Rehabilitation
Northfield, IL 60093
Phone (877) 787-3422
Other providers in Gifford, IL
- Melissa Chumbley
- Lisa Combs-Yowell
- Country Health, Inc
- Country Health, Inc
- Gifford Ccgsd 188
- Kalista G Lutes
- Jean McCarthy
- Stephanie Millikan
- Nicole Marie Peck
- Ashley Roberts
All providers in Gifford, 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 Jul 22, 2014. 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.