NPIMap

Organization Active NPI

Poremba LTD Dba Rehab Connections PC

  • Physical Therapy Clinic/Center
  • Homer Glen, IL
National Provider Identifier
1215970082
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
POREMBA LTD DBA REHAB CONNECTIONS PC
Practice address
14821 Founders Xing
Homer Glen, IL 60491-6705
Phone
(708) 301-9933
Fax
(708) 301-4450
NPI assigned
Jun 13, 2006
Last updated
Apr 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Authorized official

Name
Sheryl L Poremba, PT CCMNPI 1518929371
Title
Owner/Director, Clinical Services
Phone
(708) 301-9933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU Primary

Addresses

Primary practice location

14821 Founders Xing
Homer Glen, IL 60491-6705

Mailing address

14821 Founders Xing
Homer Glen, IL 60491-6705
Phone (708) 301-9933

Other identifiers 1

IdentifierTypeStateIssuer
9926776OtherILBLUE CROSS/BLUE SHIELD ID

National Provider Directory

National Provider Directory

Locations

14821 Founders Xing
Homer Glen, IL 60491
Phone (708) 301-9933

14901 Founders Xing
Homer Glen, IL 60491
Phone (708) 301-3571

13201 W 143rd St
Lockport, IL 60491
Phone (708) 301-2020

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335225600000",
    "number": "1215970082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14821 FOUNDERS XING",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604916705",
            "telephone_number": "708-301-9933",
            "fax_number": "708-301-4450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14821 FOUNDERS XING",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604916705",
            "telephone_number": "708-301-9933",
            "fax_number": "708-301-4450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POREMBA LTD DBA REHAB CONNECTIONS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2012-04-24",
        "status": "A",
        "authorized_official_last_name": "POREMBA",
        "authorized_official_first_name": "SHERYL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/DIRECTOR, CLINICAL SERVICES",
        "authorized_official_telephone_number": "708-301-9933",
        "authorized_official_credential": "PT CCM"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD ID",
            "identifier": "9926776",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer Glen, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; 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.