Organization Active NPI

Rebound Therapy Ceter

  • Physical Therapy Clinic/Center
  • Sycamore, IL
National Provider Identifier
1053431031
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
REBOUND THERAPY CETER
Practice address
1985 Dekalb Ave Ste 300
Sycamore, IL 60178-3107
Phone
(815) 754-1123
NPI assigned
Mar 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Patriia L Wooward
Title
Office Manager
Phone
(815) 877-5932

Specialties & licenses 1

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

Addresses

Primary practice location

1985 Dekalb Ave Ste 300
Sycamore, IL 60178-3107

Mailing address

3616 N Main St
Rockford, IL 61103-2159
Phone (815) 877-5932

National Provider Directory

National Provider Directory
Tax ID family
Rebound Therapy Center PC3 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.

NPI Registry JSON

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

{
    "created_epoch": "1175299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053431031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3616 N MAIN ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611032159",
            "telephone_number": "815-877-5932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 DEKALB AVE STE 300",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783107",
            "telephone_number": "815-754-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBOUND THERAPY CETER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOOWARD",
        "authorized_official_first_name": "PATRIIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "815-877-5932"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sycamore, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.