Provider Demographics
NPI:1679007215
Name:PARTRIOT PILATES, INC
Entity Type:Organization
Organization Name:PARTRIOT PILATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND PILATES INSTRUCTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:RIMKUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-310-0746
Mailing Address - Street 1:932 S STATE ST
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:IL
Mailing Address - Zip Code:60441-3436
Mailing Address - Country:US
Mailing Address - Phone:708-310-0746
Mailing Address - Fax:
Practice Address - Street 1:932 S STATE ST
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:IL
Practice Address - Zip Code:60441-3436
Practice Address - Country:US
Practice Address - Phone:708-310-0746
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-19
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit