Organization Active NPI

Team Rehabilitation Il02 LLC

  • Physical Therapist
  • Willowbrook, IL
National Provider Identifier
1205232147
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TEAM REHABILITATION IL02 LLC
Practice address
535 Plainfield Rd
Suite C
Willowbrook, IL 60527-7607
Phone
(630) 282-6555
Fax
(630) 986-7505
NPI assigned
Nov 4, 2014
Organization subpart
Yes
Parent organization
TEAM REHABILIATION SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Authorized official

Name
Charles Rooney
Title
Ceo
Phone
(586) 416-9100

Specialties & licenses 1

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

Addresses

Primary practice location

535 Plainfield Rd
Suite C
Willowbrook, IL 60527-7607

Mailing address

33900 Harper Ave
Suite 104
Clinton Township, MI 48035-4258
Phone (586) 416-9100

National Provider Directory

National Provider Directory
Part of
Team Rehabilitation LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1205232147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE",
            "address_2": "SUITE 104",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480354258",
            "telephone_number": "586-416-9100",
            "fax_number": "586-416-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 PLAINFIELD RD",
            "address_2": "SUITE C",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "605277607",
            "telephone_number": "630-282-6555",
            "fax_number": "630-986-7505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM REHABILITATION IL02 LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEAM REHABILIATION SERVICES, LLC",
        "enumeration_date": "2014-11-04",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "ROONEY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "586-416-9100"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willowbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; 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.