Rehab Care

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

160003429 Issued in IL

Legal business name

REHAB CARE

Practice address

4971 Walnut Grove Dr
Poplar Grove, IL 61065-8600

Phone

(815) 544-1178

NPI assigned

Nov 8, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Cynthia Marie Shattuck

Title

Physical Therapist Assistant

Phone

(815) 544-1178

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383868800000",
    "number": "1083043129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4971 WALNUT GROVE DR",
            "city": "POPLAR GROVE",
            "state": "IL",
            "postal_code": "610658600",
            "telephone_number": "815-544-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4971 WALNUT GROVE DR",
            "city": "POPLAR GROVE",
            "state": "IL",
            "postal_code": "610658600",
            "telephone_number": "815-544-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-08",
        "last_updated": "2013-11-08",
        "status": "A",
        "authorized_official_last_name": "SHATTUCK",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST ASSISTANT",
        "authorized_official_telephone_number": "815-544-1178",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "160003429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Poplar Grove Chiropractic
• Poplar Grove Natural Health Center Inc
• Poplar Grove Natural Health Center SC
• Poplar Grove Physical Therapy, Inc.
• Sherry Ramos, LCPC
• Riverside Dental Investments LLC
• Joseph M Rocuskie, ATC
• Ryan Sheltered Care LLC
• Andrew Schwenk, DDS
• Taylor Siracusa

• Physical Therapy Clinic/Center in Poplar Grove, IL
• Providers in Poplar Grove, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; 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.