NPIMap

Organization Active NPI

Aurora Rehabilitation Clinic, LLC

  • Physical Therapist
  • Aurora, IL
National Provider Identifier
1134447501
Registry record updated May 11, 2010
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Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
AURORA REHABILITATION CLINIC, LLC
Practice address
2003 Montgomery Rd
Suite 104
Aurora, IL 60504-9078
Phone
(630) 701-2648
Fax
(630) 701-2713
NPI assigned
May 11, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2010

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

Authorized official

Name
Rolando Henriquez, M.D.
Title
President
Phone
(630) 701-2648

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X IL Primary

Addresses

Primary practice location

2003 Montgomery Rd
Suite 104
Aurora, IL 60504-9078

Mailing address

PO Box 6420
Villa Park, IL 60181-6420
Phone (630) 701-2648

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273536000000",
    "number": "1134447501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6420",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601816420",
            "telephone_number": "630-701-2648",
            "fax_number": "630-701-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 MONTGOMERY RD",
            "address_2": "SUITE 104",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605049078",
            "telephone_number": "630-701-2648",
            "fax_number": "630-701-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AURORA REHABILITATION CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-11",
        "last_updated": "2010-05-11",
        "status": "A",
        "authorized_official_last_name": "HENRIQUEZ",
        "authorized_official_first_name": "ROLANDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-701-2648",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2010; 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.