Organization Active NPI

Post Rehabilitative Solutions, Inc

  • Chiropractor
  • Aurora, IL
National Provider Identifier
1346457330
Registry record updated Jul 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
38-009285 Issued in IL
Legal business name
POST REHABILITATIVE SOLUTIONS, INC
Practice address
3450 Montgomery Rd
Ste 21
Aurora, IL 60504-3149
Phone
(630) 236-8600
Fax
(630) 236-8612
NPI assigned
May 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2009

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

Authorized official

Name
Dr. Matthew Allen Petry, D.C.NPI 1922128057
Title
Chiropractor
Phone
(630) 236-8600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 38-009285 IL Primary

Addresses

Primary practice location

3450 Montgomery Rd
Ste 21
Aurora, IL 60504-3149

Mailing address

3450 Montgomery Rd
Ste 21
Aurora, IL 60504-3149
Phone (630) 236-8600

Other identifiers 1

IdentifierTypeStateIssuer
1922128057OtherILBCBS IL PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090709000491 IL Part B Supplier - Clinic/Group Practice 5496807273 Receives reassigned benefits from 1 practitioner
Practice locations: Plainfield, IL

National Provider Directory

National Provider Directory

Locations

3450 Montgomery Rd
Unit 21
Aurora, IL 60504
Phone (630) 236-8600

12624 S Route 59
Ste 2
Plainfield, IL 60585
Phone (815) 254-1234

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247097600000",
    "number": "1346457330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 MONTGOMERY RD",
            "address_2": "STE 21",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605043149",
            "telephone_number": "630-236-8600",
            "fax_number": "630-236-8612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 MONTGOMERY RD",
            "address_2": "STE 21",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605043149",
            "telephone_number": "630-236-8600",
            "fax_number": "630-236-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POST REHABILITATIVE SOLUTIONS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2009-07-09",
        "status": "A",
        "authorized_official_last_name": "PETRY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "630-236-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "38-009285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IL PROVIDER NUMBER",
            "identifier": "1922128057",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; 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.