Active NPI
Womens Health Rehabilitation Centers PC
- Physical Therapy Clinic/Center
- Tinley Park, IL
National Provider Identifier
1104886373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 070005818
- Legal business name
- WOMENS HEALTH REHABILITATION CENTERS PC
- Practice address
- 18425 West Creek Dr
Tinley Park, IL 60477-6768 - Phone
- (708) 557-3828
- Fax
- (877) 322-6752
- NPI assigned
- Mar 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Joyce Eileen Youngbrandt, PT
- Title
- President
- Phone
- (708) 557-3828
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 070005818 | Primary |
Addresses
Primary practice location
18425 West Creek Dr
Tinley Park, IL 60477-6768
Mailing address
18425 W West Creek Dr
Tinley Park, IL 60477-6768
Phone (708) 557-3828
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09932431 | Other | IL | BLUE CROSS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1401321600000",
"number": "1104886373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18425 W WEST CREEK DR",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604776768",
"telephone_number": "708-557-3828",
"fax_number": "877-322-6752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18425 WEST CREEK DR",
"city": "TINLEY PARK",
"state": "IL",
"postal_code": "604776768",
"telephone_number": "708-557-3828",
"fax_number": "877-322-6752"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WOMENS HEALTH REHABILITATION CENTERS PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-23",
"last_updated": "2014-05-29",
"status": "A",
"authorized_official_last_name": "YOUNGBRANDT",
"authorized_official_first_name": "JOYCE",
"authorized_official_middle_name": "EILEEN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "708-557-3828",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": "070005818",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "09932431",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tinley Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.