Organization Active NPI

Rebound Therapy Center, PC

  • Physical Therapist
  • Roscoe, IL
National Provider Identifier
1073751921
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
REBOUND THERAPY CENTER, PC
Practice address
4675 Bluestem Rd
Roscoe, IL 61073-7788
Phone
(815) 877-5932
Fax
(815) 877-6302
NPI assigned
Jan 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Authorized official

Name
Patricia Lynn Woodward
Title
Office Manager
Phone
(815) 877-5932

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

4675 Bluestem Rd
Roscoe, IL 61073-7788

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": "1233273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233273600000",
    "number": "1073751921",
    "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",
            "fax_number": "815-877-6302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4675 BLUESTEM RD",
            "city": "ROSCOE",
            "state": "IL",
            "postal_code": "610737788",
            "telephone_number": "815-877-5932",
            "fax_number": "815-877-6302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBOUND THERAPY CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-01-30",
        "status": "A",
        "authorized_official_last_name": "WOODWARD",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "815-877-5932"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roscoe, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.