NPIMap

Organization Active NPI

Dupage Rehabilitation, Inc.

  • Physical Therapy Clinic/Center
  • Naperville, IL
National Provider Identifier
1114086543
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
DUPAGE REHABILITATION, INC.
Practice address
10 W Martin Ave Ste 226
Naperville, IL 60540-6590
Phone
(630) 848-1744
Fax
(630) 848-1745
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2007

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

Authorized official

Name
Mrs. Tabia Lee Earl, PTNPI 1427089739
Title
Owner
Phone
(630) 848-1744

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X IL Primary

Addresses

Primary practice location

10 W Martin Ave Ste 226
Naperville, IL 60540-6590

Mailing address

10 W Martin Ave Ste 226
Naperville, IL 60540-6590
Phone (630) 848-1744

Other identifiers 4

IdentifierTypeStateIssuer
80314OtherILUNICARE
2232697OtherILBLUE CROSS
9302077OtherILPHCS
696792OtherILUNITED HEALTHCARE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1114086543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 W MARTIN AVE STE 226",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406590",
            "telephone_number": "630-848-1744",
            "fax_number": "630-848-1745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 W MARTIN AVE STE 226",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605406590",
            "telephone_number": "630-848-1744",
            "fax_number": "630-848-1745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPAGE REHABILITATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "EARL",
        "authorized_official_first_name": "TABIA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-848-1744",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNICARE",
            "identifier": "80314",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "2232697",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9302077",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "696792",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.