NPIMap

Organization Active NPI

Physical Therapy and Rehab Specialists

  • Physical Therapist
  • Hinsdale, IL
National Provider Identifier
1063666220
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYSICAL THERAPY AND REHAB SPECIALISTS
Practice address
119 E Ogden Ave
Suite 110
Hinsdale, IL 60521-3590
Phone
(630) 325-2664
Fax
(866) 245-8064
NPI assigned
Nov 13, 2008
Last updated
Dec 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Authorized official

Name
Larry BriandNPI 1275573198
Title
Ceo
Phone
(888) 201-1040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X WI Primary

Addresses

Primary practice location

119 E Ogden Ave
Suite 110
Hinsdale, IL 60521-3590

Mailing address

PO Box 3497
Sturtevant, WI 53177-0300
Phone (888) 201-1040

Other identifiers 3

IdentifierTypeStateIssuer
DP0227OtherILRAILROAD MEDICARE
1063666220MedicaidWI
DR9009OtherRAILRAOD MEDICARE

National Provider Directory

National Provider Directory

Locations

119 E Ogden Ave
Ste 110
Hinsdale, IL 60521
Phone (630) 325-2664

S63W13644 Janesville Rd
Muskego, WI 53150
Phone (414) 427-5659

8700 Durand Ave
Ste 300
Sturtevant, WI 53177
Phone (262) 898-2480

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322697600000",
    "number": "1063666220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3497",
            "city": "STURTEVANT",
            "state": "WI",
            "postal_code": "531770300",
            "telephone_number": "888-201-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 E OGDEN AVE",
            "address_2": "SUITE 110",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213590",
            "telephone_number": "630-325-2664",
            "fax_number": "866-245-8064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY AND REHAB SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-13",
        "last_updated": "2011-12-01",
        "status": "A",
        "authorized_official_last_name": "BRIAND",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "888-201-1040"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DP0227",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063666220",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILRAOD MEDICARE",
            "identifier": "DR9009",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; 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.