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Prorehab Inc

Organization Active NPI Physical Therapy Clinic/Center · Effingham, IL

NPI 1124652102 · NPPES record last updated Aug 11, 2022

Key facts

NPI
1124652102
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapy Clinic/Center 261QP2000X
Legal business name
PROREHAB INC
Practice address
1302 Avenue of Mid America Ste 3
Effingham, IL 62401-4647
Phone
(217) 606-3004
Fax
(217) 717-2190
NPI assigned
Feb 27, 2020
Organization subpart
Yes
Parent organization (as reported)
PROREHAB INC

Authorized official

Name
Andrea L. Baumann
Title
Coo
Phone
(812) 759-7473

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 18

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 92

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

View all 92

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IL

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20200702001488 IL Part B Supplier - Clinic/Group Practice 1254317217 Receives reassigned benefits from 8 practitioners
Practice locations: Carmi, IL; Effingham, IL; Mattoon, IL; Newton, IL

National Provider Directory

Tax ID family
Jill a Crick OT (19 organizations share this tax ID)
Part of
Jill a Crick OT

Locations

1706 W Main St
Carmi, IL 62821
Phone (618) 384-7872

1302 Avenue of Mid America
Ste 4
Effingham, IL 62401
Phone (217) 606-3004

1302 Avenue of Mid America
Ste 3
Effingham, IL 62401
Phone (217) 606-3004

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 225100000X
Occupational Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 225X00000X
Physical Therapy Clinic/Center 261QP2000X Yes

Addresses

Primary practice location

1302 Avenue of Mid America Ste 3
Effingham, IL 62401-4647

Mailing address

PO Box 5629
Evansville, IN 47716-5629
Phone (812) 759-7476

Other practice location 1

507 W Washington St
Newton, IL 62448-1247
Phone (217) 606-3004

Other names

  • ProRehab of Illinois, Inc Doing business as

Other providers in Effingham, IL

All providers in Effingham, IL · Physical Therapy Clinic/Center in Illinois

Sources for this page

Verify at the official NPI Registry.