OrganizationActive
Prairie Ridge Orthopedic
NPI 1033718192 · Massage Therapist · Noble, IL
Provider details
- NPI number
- 1033718192
- Entity type
- Organization
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jody Hazel, Therapist(618) 302-1703
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1750 E Colborn Camp Ln
Noble, IL 62868-2348
Phone: (618) 302-1703
Street-level locationGet directions
Mailing address
1750 E Colborn Camp Ln
Noble, IL 62868-2348
Registry dates
- Enumerated
- 2020-10-20
- Last updated
- 2022-11-15
- Certified
- 2022-11-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.