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LUNDHOLM SURGICAL GROUP PHYSICAL THERAPY DPT
NPI 1174730014
Durable Medical Equipment & Medical Supplies in Rockford, IL

Active since May 17, 2007
1340 CHARLES ST, ROCKFORD, IL 61104(815) 399-1975(815) 399-3207 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lundholm Surgical Group Physical Therapy Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUNDHOLM SURGICAL GROUP PHYSICAL THERAPY DPT (NPI 1174730014) is a healthcare organization registered as a durable medical equipment & medical supplies in Rockford, Illinois and active in the NPI registry since May 2007. The organization lists Janna P. King, Vp, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1174730014
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NameLUNDHOLM SURGICAL GROUP PHYSICAL THERAPY DPT
Location Address1340 CHARLES STRockford, IL 61104-2200
Mailing Address1300 W Sam Houston Pkwy S, Suite 300Houston, TX 77042-2447 · (713) 297-7000 · Fax (713) 297-7090
Phone(815) 399-1975
Fax(815) 399-3207
Organization SubpartNo
Authorized OfficialJanna P. KingVp, Authorized Official · (713) 297-7000
Enumeration DateMay 17, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1174730014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
1340 CHARLES ST, Rockford, IL 61104
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. REBEKAH D MEYERS PT
Physical Therapist
1340 CHARLES ST, SUITE 100
ROCKFORD, IL 61104
Winnebago County (815) 399-1975
KELLY S. RASMUSSEN NP
Nurse Practitioner
1340 CHARLES ST
ROCKFORD, IL 61104
Winnebago County (779) 696-5888
MS. KATHLEEN EDNA WILLIAMS APRN
Nurse Practitioner
1340 CHARLES ST, STE 201
ROCKFORD, IL 61104
Winnebago County (779) 696-8799
DR. STEVEN MILOS M.D.
Orthopaedic Surgery (Sports Medicine)
1340 CHARLES ST, SUITE 100
ROCKFORD, IL 61104
Winnebago County (779) 696-1900
JOHN RUSSELL
Nurse Practitioner
1340 CHARLES ST, SUITE 300
ROCKFORD, IL 61104
Winnebago County (779) 696-8800
SIRIVANH PHOMVANSI GAMEZ P.T.
Physical Therapist
1340 CHARLES ST, SUITE 100
ROCKFORD, IL 61104
Winnebago County (815) 399-1975
THOMAS J DANAHER MD
Orthopaedic Surgery
1340 CHARLES ST, STE 100
ROCKFORD, IL 61104
Winnebago County (779) 696-1900
DREW W PEARSON APN
Nurse Practitioner
1340 CHARLES ST
ROCKFORD, IL 61104
Winnebago County (779) 696-8700

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lundholm Surgical Group Physical Therapy Dpt's NPI number?

The NPI number for Lundholm Surgical Group Physical Therapy Dpt is 1174730014. It was assigned to this organization in the NPPES registry on May 17, 2007.

Where is Lundholm Surgical Group Physical Therapy Dpt located?

Lundholm Surgical Group Physical Therapy Dpt is located at 1340 Charles St, Rockford, IL 61104. The listed phone number is (815) 399-1975.

What is Lundholm Surgical Group Physical Therapy Dpt's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

When was this NPI record last updated?

The NPPES record for Lundholm Surgical Group Physical Therapy Dpt was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.