NPIMap

Organization Active NPI

Rehab Innovations LLC

  • Rehabilitation Clinic/Center
  • Carbondale, IL
National Provider Identifier
1023023579
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
REHAB INNOVATIONS LLC
Practice address
200 N Emerald LN
Suite 1a
Carbondale, IL 62901-2100
Phone
(618) 549-9449
NPI assigned
Jul 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Mr. Don L Howard, MS, ATC, PTA
Title
Administrator
Phone
(618) 549-9449

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary

Addresses

Primary practice location

200 N Emerald LN
Suite 1a
Carbondale, IL 62901-2100

Mailing address

PO Box 55
Carbondale, IL 62903-0055
Phone (618) 549-9449

Other identifiers 3

IdentifierTypeStateIssuer
473850OtherILHEALTH LINK PROVIDER NUMB
100174OtherILHEALTH ALLIANCE PROVIDER
03927511OtherILBCBS PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

1400 W Main St
Ste H
Carbondale, IL 62901
Phone (618) 549-9449

200 N Emerald Ln
Ste 1A
Carbondale, IL 62901
Phone (618) 549-9449

10419 Fleming Rd
Ste B
Carterville, IL 62918
Phone (618) 985-4499

106 E Main St
Du Quoin, IL 62832
Phone (618) 542-6910

Practitioners & affiliated clinicians

Practitioners 8

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": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1023023579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 55",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629030055",
            "telephone_number": "618-549-9449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N EMERALD LN",
            "address_2": "SUITE 1A",
            "city": "CARBONDALE",
            "state": "IL",
            "postal_code": "629012100",
            "telephone_number": "618-549-9449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB INNOVATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "618-549-9449",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, ATC, PTA"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH LINK PROVIDER NUMB",
            "identifier": "473850",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PROVIDER",
            "identifier": "100174",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "03927511",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carbondale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.