Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Memorial Industrial Rehabilitation of Jacksonville

Organization Occupational Therapy Assistant · NPI 1093775561

Memorial Industrial Rehabilitation of Jacksonville is an Occupational Therapy Assistant in Jacksonville, Illinois. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
4

Practice location Address checks out

901 W Morton Ave Ste 16A
Jacksonville, IL 62650-3146
Phone: (217) 245-4640
Fax: (217) 245-4642
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X
Occupational Therapy Assistant Taxonomy 224Z00000X
Physical Therapist Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1093775561
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Clarke — President And Ceo · (217) 788-3340
NPI enumeratedMarch 27, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address901 W Morton Ave, Suite 16a, Jacksonville, IL 62650-3146

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