Provider Demographics
NPI:1487453965
Name:EVERY STEP PEDIATRIC PT AND WELLNESS
Entity type:Organization
Organization Name:EVERY STEP PEDIATRIC PT AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JADE
Authorized Official - Middle Name:A
Authorized Official - Last Name:HAILEY
Authorized Official - Suffix:
Authorized Official - Credentials:PT, DPT
Authorized Official - Phone:815-761-7323
Mailing Address - Street 1:7166 SENTINEL RD
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61107-2708
Mailing Address - Country:US
Mailing Address - Phone:815-761-7323
Mailing Address - Fax:
Practice Address - Street 1:7166 SENTINEL RD
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61107-2708
Practice Address - Country:US
Practice Address - Phone:815-761-7323
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatricsGroup - Single Specialty