Rebound Fitness Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

070.018154 Issued in IL

Legal business name

REBOUND FITNESS INC

Practice address

246 E. Janata Blvd
Suite 135
Lombard, IL 60148

Phone

(630) 376-6096

NPI assigned

Dec 1, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Cadichon, ATC

Title

Owner

Phone

(630) 376-6096

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Rebound Fitness and Rehabilitation/Rebound Sports Medicine

  • Clinic/Center
  • Northbrook, IL
  • NPI 1619944378

  O20110512000406

  Same enrollment

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377648000000",
    "number": "1023310711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "666 DUNDEE RD STE 1002",
            "address_2": "SUITE 1002",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622735",
            "telephone_number": "847-714-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 E. JANATA BLVD",
            "address_2": "SUITE 135",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "60148",
            "telephone_number": "630-376-6096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBOUND FITNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2013-08-28",
        "status": "A",
        "authorized_official_last_name": "CADICHON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-376-6096",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ATC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070.018154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer M. Ray, APN-CNP
• Leslie Rayo
• Mohammad Maaz Razi, MD
• Reachout Home Care LLC
• Rebound Fitmess and Rehabilitation
• Naveen C Reddy, MD
• Redefining Hope Clinical Counseling Service PLLC
• Ann Marie Redmond, D.D.S.
• Rehabtech, Inc.
• Shafiq Ur Rehman, MD, MPH & C-SA

• Physical Therapy Clinic/Center in Lombard, IL
• Providers in Lombard, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.