Alpha Rehab Center, SC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

038010456 Issued in IL

Legal business name

ALPHA REHAB CENTER, SC

Practice address

3253 Harlem Ave
Suite 3
Berwyn, IL 60402-2996

Phone

(708) 317-5553

Fax

(708) 788-4757

NPI assigned

Aug 29, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Ashish Sud, DCNPI 1275573602

Title

President

Phone

(708) 317-5553

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carl Burdinie, P.T.

  • Physical Therapist
  • Riverside, IL
  • NPI 1841264579

  IL, Physical Therapist

  Medicare reassignment NPD
• Aleksandr Goldvekht, MD

  • Physical Medicine & Rehabilitation Physician
  • Milwaukee, WI
  • NPI 1700807807

  IL

  Medicare reassignment NPD
• Ashish Sud, D.C

  • Chiropractor
  • Plainfield, IL
  • NPI 1275573602
  NPD Authorized official
• Wajahat Akhtar, D.C.

  • Chiropractor
  • Berwyn, IL
  • NPI 1669510061
  NPD (past)
• James S Matela, DPT

  • Physical Therapist
  • Glen Ellyn, IL
  • NPI 1760791040
  NPD (past)
• Sanjoy Roy, MPT

  • Physical Therapist
  • Wheaton, IL
  • NPI 1972771244
  NPD (past)
• Nathan Todd Ruof, D.C.

  • Chiropractor
  • Oak Lawn, IL
  • NPI 1841520491
  NPD (past)
• Rachel Ruzevich, PA-C

  • Physician Assistant
  • Orland Park, IL
  • NPI 1134759731
  NPD (past)

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1336497940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3253 HARLEM AVE",
            "address_2": "SUITE 3",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022996",
            "telephone_number": "708-317-5553",
            "fax_number": "708-788-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3253 HARLEM AVE",
            "address_2": "SUITE 3",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022996",
            "telephone_number": "708-317-5553",
            "fax_number": "708-788-4757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA REHAB CENTER, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-05",
        "status": "A",
        "authorized_official_last_name": "SUD",
        "authorized_official_first_name": "ASHISH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-317-5553",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IL",
            "license": "038010321",
            "primary": false
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IL",
            "license": "038010456",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "IL7746",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Allen C Bernthal M D LTD
• Antoinette Allen, LPC
• Matthew James Allen
• John Alli
• Alliance Laborist Group S.C.
• Alpha Rehabilitation Medical Center LTD
• Alpha Surgery Center
• Alpha Vein Solutions Inc
• Jolene L Altman, LCSW
• Esther Alva, M.D.

• All providers in Berwyn, IL
• Rehabilitation Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.