Organization Active NPI

Era Physical Therapy Inc

  • Orthopedic Physical Therapist
  • Deerfield, IL
National Provider Identifier
1215347406
Registry record updated Jun 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
ERA PHYSICAL THERAPY INC
Practice address
707 Lake Cook Rd
Suite 130
Deerfield, IL 60015-5613
Phone
(847) 630-2541
Fax
(847) 498-4158
NPI assigned
Apr 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2014

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

Authorized official

Name
Dr. Efrat Rebish, DPT, OCSNPI 1184770802
Title
Owner
Phone
(847) 630-2541

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
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

707 Lake Cook Rd
Suite 130
Deerfield, IL 60015-5613

Mailing address

399 Indian Hill Dr
Buffalo Grove, IL 60089-1922
Phone (847) 630-2541

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141021001156 IL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8022232354 Receives reassigned benefits from 1 practitioner
Practice locations: Northbrook, IL

National Provider Directory

National Provider Directory

Locations

707 Lake Cook Rd
Ste 130
Deerfield, IL 60015
Phone (847) 498-4998

1535 Lake Cook Rd
Ste 412
Northbrook, IL 60062
Phone (312) 340-6677

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": "1398643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402012800000",
    "number": "1215347406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 INDIAN HILL DR",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891922",
            "telephone_number": "847-630-2541",
            "fax_number": "847-498-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 LAKE COOK RD",
            "address_2": "SUITE 130",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155613",
            "telephone_number": "847-630-2541",
            "fax_number": "847-498-4158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERA PHYSICAL THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-28",
        "last_updated": "2014-06-06",
        "status": "A",
        "authorized_official_last_name": "REBISH",
        "authorized_official_first_name": "EFRAT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-630-2541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2014; 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.