NPIMap

Organization Active NPI

Accelerated Rehabilitation Center of Kenosha LTD

  • Physical Therapist
  • Countryside, IL
National Provider Identifier
1235514241
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ACCELERATED REHABILITATION CENTER OF KENOSHA LTD
Practice address
6502 Joliet Rd
Countryside, IL 60525-4682
Phone
(708) 352-0547
Fax
(708) 352-1535
NPI assigned
Jul 21, 2015
Last updated
Jul 21, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

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

Authorized official

Name
Tasya Exner
Title
Upfront System Director
Phone
(262) 657-0222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

6502 Joliet Rd
Countryside, IL 60525-4682

Mailing address

2998 Momentum PL
Chicago, IL 60689-5330
Phone (262) 657-0222

National Provider Directory

National Provider Directory
Tax ID family
Accelerated Rehabilitation Center of Kenosha LTD13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1437436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1235514241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2998 MOMENTUM PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606895330",
            "telephone_number": "262-657-0222",
            "fax_number": "262-657-7190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6502 JOLIET RD",
            "city": "COUNTRYSIDE",
            "state": "IL",
            "postal_code": "605254682",
            "telephone_number": "708-352-0547",
            "fax_number": "708-352-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCELERATED REHABILITATION CENTER OF KENOSHA LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-21",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "EXNER",
        "authorized_official_first_name": "TASYA",
        "authorized_official_title_or_position": "UPFRONT SYSTEM DIRECTOR",
        "authorized_official_telephone_number": "262-657-0222"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Countryside, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.