Organization Active NPI

Speckman Rehab Center Oswego Inc.

  • Physical Therapist
  • Oswego, IL
National Provider Identifier
1346538196
Registry record updated Jul 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070007763 Issued in IL
Legal business name
SPECKMAN REHAB CENTER OSWEGO INC.
Practice address
26 W Van Buren St
Oswego, IL 60543-7211
Phone
(630) 553-6888
NPI assigned
Jul 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2011

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

Authorized official

Name
Mrs. Jennifer Ann Speckman, P.T.
Title
President
Phone
(630) 553-6888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 070007763 IL Primary

Addresses

Primary practice location

26 W Van Buren St
Oswego, IL 60543-7211

Mailing address

26 W Van Buren St
Oswego, IL 60543-7211
Phone (630) 553-6888

National Provider Directory

National Provider Directory

Locations

26 W Van Buren St
Oswego, IL 60543
Phone (630) 553-6888

NPI Registry JSON

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310601600000",
    "number": "1346538196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 W VAN BUREN ST",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605437211",
            "telephone_number": "630-553-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 W VAN BUREN ST",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605437211",
            "telephone_number": "630-553-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECKMAN REHAB CENTER OSWEGO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-14",
        "last_updated": "2011-07-14",
        "status": "A",
        "authorized_official_last_name": "SPECKMAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-553-6888",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070007763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; 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.