Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Memorial Industrial Rehabilitation of Jacksonville

Physical Therapy Assistant in Jacksonville, IL · enumerated 2006 · authorized official Robert Clarke, President and Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1093775561

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Registry record

Entity type Organization (Type 2)

Legal business name Memorial Industrial Rehabilitation of Jacksonville

Practice address 901 W Morton Ave, Suite 16a, Jacksonville, IL, 62650

Phone (217) 245-4640

Fax (217) 245-4642

Enumeration date Mar 27, 2006

Last updated in NPPES Sep 11, 2025

Taxonomy & classification

224Z00000X Occupational Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

225200000X Physical Therapy Assistant Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary

225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

Authorized official

Name Robert Clarke

Title President and Ceo

Phone (217) 788-3340

Other identifiers

Identifier	Type	State	Issuer
06932016	Other	-	BCBS GROUP NUMBER

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Who is the authorized official for Memorial Industrial Rehabilitation of Jacksonville?

NPPES lists Robert Clarke (President and Ceo) as the authorized official for this organization.

What is the NPI number for Memorial Industrial Rehabilitation of Jacksonville?

The NPI for Memorial Industrial Rehabilitation of Jacksonville is 1093775561, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.