Accelerated Rehabilitation Center of Kenosha LTD

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ACCELERATED REHABILITATION CENTER OF KENOSHA LTD

Practice address

1294 S Route 12
Fox Lake, IL 60020-1950

Phone

(847) 973-9440

Fax

(847) 973-9442

NPI assigned

Oct 16, 2014

Last updated

Oct 16, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Eric C Warner

Title

Ceo

Phone

(815) 577-2840

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark A Kaufman, PT, ATC

  • Physical Therapist
  • Oak Brook, IL
  • NPI 1730148776
  NPD (past)
• Joseph Richard L'Abbe, P.T.

  • Physical Therapist
  • Mundelein, IL
  • NPI 1679772990
  NPD (past)

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

{
    "created_epoch": "1413417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413417600000",
    "number": "1003210287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2998 MOMENTUM PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606895330",
            "telephone_number": "262-657-0222",
            "fax_number": "262-657-7190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1294 S ROUTE 12",
            "city": "FOX LAKE",
            "state": "IL",
            "postal_code": "600201950",
            "telephone_number": "847-973-9440",
            "fax_number": "847-973-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCELERATED REHABILITATION CENTER OF KENOSHA LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-16",
        "last_updated": "2014-10-16",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "815-577-2840"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "6726070001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Absolute Wellness, LTD. (Lakeside Chiropractic)
• Breanna Adams, ATC
• American Drug Stores LLC (Osco Drug #3453)
• Amg Illinois LTD
• Russell E Anderson
• Joshua Tyler Armstrong, MS

• Physical Therapist in Fox Lake, IL
• Providers in Fox Lake, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; 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.