Active NPI
Complete Rehabilitation, LTD
- Orthopedic Chiropractor
- La Grange, IL
National Provider Identifier
1053521385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Chiropractor
- License
- 042.618434
- Legal business name
- COMPLETE REHABILITATION, LTD
- Practice address
- 507 S la Grange Rd
La Grange, IL 60525-6740 - Phone
- (708) 354-9599
- Fax
- (708) 354-9799
- NPI assigned
- May 23, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Micahael Rex Pinckney, D.C.
- Title
- President
- Phone
- (708) 354-9599
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Chiropractor | 111NX0800X | 042.618434 | IL | Primary |
Addresses
Primary practice location
507 S la Grange Rd
La Grange, IL 60525-6740
Mailing address
507 S la Grange Rd
La Grange, IL 60525-6740
Phone (708) 354-9599
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080610000069 | IL | Part B Supplier - Clinic/Group Practice | 2466522974 |
Receives reassigned benefits from 3 practitioners Practice locations: La Grange Park, IL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Urbana, IL
- NPI 1366456477
-
- Chiropractor
- La Grange, IL
- NPI 1457773202
-
- Chiropractor
- La Grange, IL
- NPI 1295881464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211932800000",
"number": "1053521385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "507 S LA GRANGE RD",
"city": "LA GRANGE",
"state": "IL",
"postal_code": "605256740",
"telephone_number": "708-354-9599",
"fax_number": "708-354-9799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 S LA GRANGE RD",
"city": "LA GRANGE",
"state": "IL",
"postal_code": "605256740",
"telephone_number": "708-354-9599",
"fax_number": "708-354-9799"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPLETE REHABILITATION, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-23",
"last_updated": "2008-05-28",
"status": "A",
"authorized_official_last_name": "PINCKNEY",
"authorized_official_first_name": "MICAHAEL",
"authorized_official_middle_name": "REX",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "708-354-9599",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111NX0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor, Orthopedic",
"state": "IL",
"license": "042.618434",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Grange, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.