Revrehab, LTD.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

070013436 Issued in IL

Legal business name

REVREHAB, LTD.

Practice address

23410 W Apollo CT
Lake Villa, IL 60046-9638

Phone

(847) 856-9014

NPI assigned

Jan 4, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Colleen Marie Skotnicki, MPTNPI 1275860694

Title

Physical Therapist

Phone

(847) 977-7188

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Colleen Skotnicki, PT

  • Physical Therapist
  • Lake Villa, IL
  • NPI 1275860694
  NPD (past) Authorized official

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

{
    "created_epoch": "1483488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483488000000",
    "number": "1104361898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 GOLDFINCH LN",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "600026410",
            "telephone_number": "847-977-7188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23410 W APOLLO CT",
            "city": "LAKE VILLA",
            "state": "IL",
            "postal_code": "600469638",
            "telephone_number": "847-856-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVREHAB, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-04",
        "last_updated": "2017-01-04",
        "status": "A",
        "authorized_official_last_name": "SKOTNICKI",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "847-977-7188",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070013436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reassure Health PLLC
• Melissa Redmond, LPC
• Scott G Reiser, D.C.
• Elizabeth Remedi, LPC
• Renal Treatment Centers-Illinois Inc (Lake Villa Dialysis)
• Nicholas Rippentrop, MS
• Adam Robinson, LCPC
• Dianne Robinson, LCSW
• Michael Thomas Rodden, PT
• Carolina Rodriguez, MSW, PEL, LSW

• Physical Therapy Clinic/Center in Lake Villa, IL
• Providers in Lake Villa, 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 Jan 4, 2017; 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.