Myofascial Release of Southern Illinois
NPI 1851722946 · Rehabilitation Clinic/Center · Carbondale, IL
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Myofascial Release of Southern Illinois is a Rehabilitation Clinic/Center organization in Carbondale, IL (NPI 1851722946).
Provider details
- NPI number
- 1851722946
- Entity type
- Organization
- Primary specialty
- Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tara Manzano, President/Occupational Therapist(618) 305-4696
- License
- 248.000873 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
Mailing address
Registry dates
- Enumerated
- 2013-11-27
- Last updated
- 2014-11-04
Frequently asked questions
- What is Myofascial Release of Southern Illinois's NPI number?
- Myofascial Release of Southern Illinois's National Provider Identifier (NPI) is 1851722946, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Myofascial Release of Southern Illinois?
- Myofascial Release of Southern Illinois is classified in the NPPES registry as Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Myofascial Release of Southern Illinois located?
- Myofascial Release of Southern Illinois's practice location on file with NPPES is 101 S Graham Ave, Carbondale, IL 62901-3043.
- What is Myofascial Release of Southern Illinois's phone number?
- The practice phone number listed in the NPPES registry for Myofascial Release of Southern Illinois is (618) 305-4696.
- Does Myofascial Release of Southern Illinois accept Medicare?
- Myofascial Release of Southern Illinois is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Myofascial Release of Southern Illinois?
- The authorized official listed on Myofascial Release of Southern Illinois's NPPES record is Tara Manzano, President/Occupational Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Myofascial Release of Southern Illinois's NPI active?
- Yes — Myofascial Release of Southern Illinois's NPI (1851722946) is active in the NPPES registry as of the last update on 2014-11-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.