Pediatric TherapyFinder

Myofascial Release of Southern Illinois

Rehabilitation clinic in Carbondale, IL

NPI activeLicense # listed (IL)

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Public-record details

Address
101 S Graham Ave, Suite 3, Carbondale, IL 62901
Phone
(618) 305-4696
Listed under
Rehabilitation clinics
NPI
1851722946
NPI status
Active in the NPPES registry
Provider type
Organization (practice, clinic or company)
Registered specialty (self-reported taxonomy)
Rehabilitation Clinic/Center (261QR0400X)
License number on NPI record
248.000873 (IL)
Authorized official
Tara Manzano, OTR/L, President/occupational Therapist
NPI first issued
Nov 27, 2013
NPI record last updated
Nov 4, 2014

NPI 1851722946 is active in the federal NPPES registry (CMS); license 248.000873 (IL) is listed on the record. Source: NPPES NPI Registry (CMS) (record). Data as of 2026-09-30.

What these registry facts mean

The NPI (National Provider Identifier) is the federal ID every HIPAA-covered provider uses to bill insurance. This NPI belongs to an organization, so it may cover several clinicians at this location. The specialty is the taxonomy the provider chose when registering; NPPES does not check it. A license number here is what the provider entered — confirm it with the state board before you rely on it. Rehabilitation clinics may offer physical, occupational and speech therapy, and many serve adults only. Call to ask whether they treat children and which therapies they offer.

View NPI 1851722946 in the official registry ↗

Checking a license: the number above is what the provider entered in the NPI registry. Your state licensing board's lookup shows whether it is current. For individual therapists, ASHA (speech) and NBCOT (occupational therapy) let you verify national certification.

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