Organization Active NPI

Saint Anthony Medical Center

  • Rehabilitation Hospital Unit
  • Rockford, IL
National Provider Identifier
1225378722
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
070.013442 Issued in IL
Legal business name
SAINT ANTHONY MEDICAL CENTER
Practice address
5510 E State St
Rockford, IL 61108-2381
Phone
(815) 395-4505
NPI assigned
Feb 20, 2013
Last updated
Feb 20, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Authorized official

Name
Tracy Ohmstede, P.T.
Title
Physical Therapist
Phone
(507) 226-4190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 070.013442 IL Primary

Addresses

Primary practice location

5510 E State St
Rockford, IL 61108-2381

Mailing address

5510 E State St
Rockford, IL 61108-2381

National Provider Directory

National Provider Directory

Locations

5510 E State St
Rockford, IL 61108
Phone (815) 226-2000

NPI Registry JSON

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

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1225378722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 E STATE ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082381",
            "telephone_number": "815-395-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAINT ANTHONY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-20",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "OHMSTEDE",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "507-226-4190",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "IL",
            "license": "070.013442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2013; 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.