Melrose Park Rehabilitation, LTD

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MELROSE PARK REHABILITATION, LTD

Practice address

1440 W North Ave Ste 310
Melrose Park, IL 60160-1426

Phone

(708) 627-3057

NPI assigned

Apr 3, 2025

Organization subpart

No

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

Authorized official

Name

Stefanie Shaw

Title

Clinic Director

Phone

(708) 627-3057

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1743638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1215731575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 W NORTH AVE STE 310",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601426",
            "telephone_number": "708-627-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 W NORTH AVE STE 310",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601426",
            "telephone_number": "708-627-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELROSE PARK REHABILITATION, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "STEFANIE",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "708-627-3057"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melrose Medical Supply Company, LLC
• Melrose Park Clinic
• Melrose Park Clinic LTD.
• Melrose Park Eye Care LLC
• Melrose Park Immediate Care
• Melrose Park Women'S Care, S.C.
• Melrose Pharmacy Inc
• Deja Merritte, BA
• Joseph E. Merryweather, PA-C
• Natalie Metsch, MA

• Physical Therapist in Melrose Park, IL
• Providers in Melrose Park, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; 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.