Organization Active NPI

Choice Therapy Services, LTD

  • Physical Medicine & Rehabilitation Physician
  • Mokena, IL
National Provider Identifier
1003139346
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
070006803 Issued in IL
Legal business name
CHOICE THERAPY SERVICES, LTD
Practice address
21437 Prairie Ridge Dr
Mokena, IL 60448-1953
Phone
(708) 369-8122
Fax
(708) 478-8122
NPI assigned
Mar 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Jeanelle D Lao
Title
President
Phone
(708) 369-8122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X 070006803 IL Primary

Addresses

Primary practice location

21437 Prairie Ridge Dr
Mokena, IL 60448-1953

Mailing address

21437 Prairie Ridge Dr
Mokena, IL 60448-1953
Phone (708) 369-8122

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1267401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1003139346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21437 PRAIRIE RIDGE DR",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604481953",
            "telephone_number": "708-369-8122",
            "fax_number": "708-478-8122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21437 PRAIRIE RIDGE DR",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604481953",
            "telephone_number": "708-369-8122",
            "fax_number": "708-478-8122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICE THERAPY SERVICES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-01",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "LAO",
        "authorized_official_first_name": "JEANELLE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-369-8122",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "070006803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mokena, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.