Community Professional Rehab

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

322888333001 Issued in IL

Legal business name

COMMUNITY PROFESSIONAL REHAB

Practice address

10559 S Torrence Ave
Chicago, IL 60617-6154

Phone

(773) 374-7800

Fax

(773) 374-9091

NPI assigned

Aug 30, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ashrag Tebry

Title

President

Phone

(773) 374-7800

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ahmed Abdeldaiem, PT

  • Physical Therapist
  • Homewood, IL
  • NPI 1275623571
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1134239346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10559 S TORRENCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606176154",
            "telephone_number": "773-374-7800",
            "fax_number": "773-374-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10559 S TORRENCE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606176154",
            "telephone_number": "773-374-7800",
            "fax_number": "773-374-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PROFESSIONAL REHAB",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TEBRY",
        "authorized_official_first_name": "ASHRAG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-374-7800"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "322888333001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "322888333001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Community Mental Health Council, Inc.
• Community Options, Inc.
• Community Outreach Chiropractic
• Community Pathology Associates, LLC
• Community Pharmacy Services Inc
• Community Service Options, Inc.
• Community Triage Center
• Communityhealth
• Companionship Home Health LLC
• Company Care

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.