Ablehearts Rehabilitation, LLC
Organization Active NPI Occupational Therapist · Hazel Crest, IL
NPI 1114706637 · NPPES record last updated Sep 25, 2023
Key facts
- NPI
- 1114706637
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Occupational Therapist 225X00000X
- Legal business name
- ABLEHEARTS REHABILITATION, LLC
- Practice address
- 17400 Kedzie Ave
Hazel Crest, IL 60429-1600 - Phone
- (618) 780-3256
- NPI assigned
- Sep 25, 2023
- Organization subpart
- No
Authorized official
- Name
- Risty Smith, OTR/L, CHC
- Title
- President
- Phone
- (813) 285-2802
Member of 1
Practitioners 6
-
Joseph M Hill, OTR
-
Mary Kathryn Warchol, SLP-CF
-
Danielle Renee Young, OTR/L
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240110003758 | IL | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 3971954298 |
Receives reassigned benefits from 6 practitioners Practice locations: Hazel Crest, IL |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | |||
| Occupational Therapist |
225X00000X | Yes | ||
| Speech-Language Pathologist |
235Z00000X |
Addresses
Primary practice location
17400 Kedzie Ave
Hazel Crest, IL 60429-1600
Mailing address
4042 Park Oaks Blvd Ste 300
Tampa, FL 33610-9539
Phone (813) 635-9500
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- Tahir A Abbasi
- Ablenia K
- Abundant Health Solutions LLC
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- Emmanuel Acheampong
All providers in Hazel Crest, IL · Occupational Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.