Functional Therapy & Rehabilitation, P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

FUNCTIONAL THERAPY & REHABILITATION, P.C.

Practice address

14301 S Golden Oak Dr
Homer Glen, IL 60491-9696

Phone

(708) 645-7700

NPI assigned

Apr 10, 2007

Last updated

Nov 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Phyllis Dimonte Levine, PT, DPTNPI 1154339760

Title

Owner

Phone

(708) 645-7700

Specialties & licenses 1

Addresses

Locations

Practitioners 4

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.

• Phyllis Levine, PT

  • Physical Therapist
  • Homer Glen, IL
  • NPI 1154339760
  Authorized official Same address or phone
• Steven Antonio Tijerina, DPT, PT

  • Physical Therapist
  • Orland Park, IL
  • NPI 1851846026
  NPD
• Kristina Nielsen Birch, DPT

  • Physical Therapist
  • Chicago, IL
  • NPI 1235147851
  NPD (past)
• Barbara Gerk

  • Physical Therapist
  • Crete, IL
  • NPI 1013925536
  NPD (past)

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1225251341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14301 S GOLDEN OAK DR",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604919696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14301 S GOLDEN OAK DR",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604919696",
            "telephone_number": "708-645-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL THERAPY & REHABILITATION, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "PHYLLIS",
        "authorized_official_middle_name": "DIMONTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-645-7700",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Foot and Ankle Inc
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• Fraser Vaselakos & Associates, PC
• M Denise Fraser Vaselakos, PSY.D.
• Lindsey Fron
• Christy Galardi
• Gabriel Goldman, PT, DPT
• Jennifer Hedwig Goodrich, ATC
• Amanda E Gorman, PHARMD
• Alexis Mercedes Gregorash

• Physical Therapist in Homer Glen, IL
• Providers in Homer Glen, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; 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.