Organization Active NPI

Absolute Rehab

  • Physical Therapy Clinic/Center
  • Naperville, IL
National Provider Identifier
1013141746
Registry record updated Jul 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
070.009972 Issued in IL
Legal business name
ABSOLUTE REHAB
Practice address
1012 W. 95TH St, 95TH Street Medical Building
Suite - 10
Naperville, IL 60564-5041
Phone
(630) 631-6253
NPI assigned
May 9, 2009
Last updated
Jul 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2009

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

Authorized official

Name
Ritu Koul, PHYSICAL THERAPISTNPI 1982679213
Title
President
Phone
(630) 631-6253

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 070.009972 IL Primary

Addresses

Primary practice location

1012 W. 95TH St, 95TH Street Medical Building
Suite - 10
Naperville, IL 60564-5041

Mailing address

1012 W. 95TH St, 95TH Street Medical Building
Suite - 10
Naperville, IL 60564-5041
Phone (630) 631-6253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091001000722 IL Part B Supplier - Clinic/Group Practice 7012053275 Receives reassigned benefits from 1 practitioner
Practice locations: Naperville, IL

National Provider Directory

National Provider Directory

Locations

1012 95th St
Ste 10
Naperville, IL 60564
Phone (630) 631-6253

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1241827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248393600000",
    "number": "1013141746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 W. 95TH ST, 95TH STREET MEDICAL BUILDING",
            "address_2": "SUITE - 10",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645041",
            "telephone_number": "630-631-6253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 W. 95TH ST, 95TH STREET MEDICAL BUILDING",
            "address_2": "SUITE - 10",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645041",
            "telephone_number": "630-631-6253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-09",
        "last_updated": "2009-07-24",
        "status": "A",
        "authorized_official_last_name": "KOUL",
        "authorized_official_first_name": "RITU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-631-6253",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070.009972",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.