Organization Active NPI

SD Rehab Inc.

  • Occupational Therapist
  • Chicago, IL
National Provider Identifier
1073737920
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056003210 Issued in IL
Legal business name
SD REHAB INC.
Practice address
1962 N Bissell St
2ND Floor
Chicago, IL 60614-5015
Phone
(773) 477-7599
Fax
(773) 477-7601
NPI assigned
Apr 12, 2007
Last updated
Jun 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Authorized official

Name
Mrs. Stephanie Davies Devlin, OTR L
Title
President
Phone
(773) 477-7599

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 056003210 IL Primary

Addresses

Primary practice location

1962 N Bissell St
2ND Floor
Chicago, IL 60614-5015

Mailing address

1962 N Bissell St
#2
Chicago, IL 60614-5015
Phone (773) 477-7599

National Provider Directory

National Provider Directory

Locations

1962 N Bissell St
Ste 2
Chicago, IL 60614
Phone (773) 477-7599

Practitioners & affiliated clinicians

Practitioners 3

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": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467158400000",
    "number": "1073737920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1962 N BISSELL ST",
            "address_2": "#2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145015",
            "telephone_number": "773-477-7599",
            "fax_number": "733-477-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1962 N BISSELL ST",
            "address_2": "2ND FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145015",
            "telephone_number": "773-477-7599",
            "fax_number": "773-477-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SD REHAB INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2016-06-29",
        "status": "A",
        "authorized_official_last_name": "DEVLIN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "DAVIES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-477-7599",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056003210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; 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.