Empowerme Rehabilitation Il Agency, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

EMPOWERME REHABILITATION IL AGENCY, LLC

Practice address

2225 W Morton Ave
Jacksonville, IL 62650-2626

Phone

(217) 245-2996

NPI assigned

Aug 10, 2018

Organization subpart

No

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

Authorized official

Name

Janaka Dias

Title

President

Phone

(314) 485-7979

Specialties & licenses 3

Addresses

Tax ID family

Empowerme Rehabilitation Il Agency LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Empowerme Rehabilitation Il Agency, LLC

  • Physical Therapist
  • Woodridge, IL
  • NPI 1154800191
  NPD tax ID
• Empowerme Rehabilitation Il Agency, LLC

  • Physical Therapist
  • Shiloh, IL
  • NPI 1265940456
  NPD tax ID

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533859200000",
    "number": "1043799083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 S CENTRAL AVE STE 1050",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631051731",
            "telephone_number": "314-485-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 W MORTON AVE",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626502626",
            "telephone_number": "217-245-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERME REHABILITATION IL AGENCY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-10",
        "last_updated": "2018-08-10",
        "status": "A",
        "authorized_official_last_name": "DIAS",
        "authorized_official_first_name": "JANAKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-485-7979"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eldon G Barrowes DDS & Assoc PC
• Elm City Rehabilitation Center, Inc.
• Elm City Rehabilitation Center, Inc.
• Elm City Rehabilitation Center, Inc.
• Elm City Rehabilitation Center, Inc.
• Valerie Ernst, PT
• Ryan D. Farris, AUD
• Lori Ann Feezor-Ribble, O.D.
• Agnes A. Fenner
• Michael Niel Fenner, MD

• Physical Therapist in Jacksonville, IL
• Providers in Jacksonville, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; 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.