Pro-Health Physical Rehabilitation Services P C

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070009203 Issued in IL

Legal business name

PRO-HEALTH PHYSICAL REHABILITATION SERVICES P C

Practice address

235 Remington Blvd
Suite I
Bolingbrook, IL 60440-5826

Phone

(630) 312-8022

Fax

(630) 312-8660

NPI assigned

May 27, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ibrahim O Arowolo, PT

Title

Owner

Phone

(630) 312-8022

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kim Bernadette Johnson, COTA/L

  • Occupational Therapy Assistant
  • Bolingbrook, IL
  • NPI 1902154982
  NPD (past)

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1063469906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 REMINGTON BLVD",
            "address_2": "SUITE I",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604405826",
            "telephone_number": "630-312-8022",
            "fax_number": "630-312-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 REMINGTON BLVD",
            "address_2": "SUITE I",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604405826",
            "telephone_number": "630-312-8022",
            "fax_number": "630-312-8660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-HEALTH PHYSICAL REHABILITATION SERVICES P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "AROWOLO",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-312-8022",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070009203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSIL PROVIDER NO",
            "identifier": "09932380",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.