Organization Active NPI

Higgins Sports and Spinal Rehab, S.C.

  • Clinic/Center
  • Park Ridge, IL
National Provider Identifier
1194840108
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HIGGINS SPORTS AND SPINAL REHAB, S.C.
Practice address
712 Higgins Road
Park Ridge, IL 60068-5716
Phone
(847) 394-8730
Fax
(847) 384-8732
NPI assigned
Mar 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Scott Cabrera, D.C.NPI 1821130915
Title
President
Phone
(847) 384-8730

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

712 Higgins Road
Park Ridge, IL 60068-5716

Mailing address

712 Higgins Road
Park Ridge, IL 60068-5716
Phone (847) 394-8730

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100913000873 IL Part B Supplier - Clinic/Group Practice 0840315925 Receives reassigned benefits from 1 practitioner
Practice locations: Park Ridge, IL

National Provider Directory

National Provider Directory

Locations

712 Higgins Rd
Park Ridge, IL 60068
Phone (630) 302-1469

1030 Higgins Rd
Ste 220
Park Ridge, IL 60068
Phone (847) 384-8730

Practitioners & affiliated clinicians

Practitioners 1

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": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194840108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 HIGGINS ROAD",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685716",
            "telephone_number": "847-394-8730",
            "fax_number": "847-384-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "712 HIGGINS ROAD",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600685716",
            "telephone_number": "847-394-8730",
            "fax_number": "847-384-8732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGGINS SPORTS AND SPINAL REHAB, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CABRERA",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-384-8730",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • 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.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.