Professional Rehabilitation Group

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PROFESSIONAL REHABILITATION GROUP

Doing business as

Physical Therapy Pain Relief Clinic

Practice address

41 E Main St
Lake Zurich, IL 60047-3413

Phone

(847) 877-8050

NPI assigned

Oct 12, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Beata RedlickiNPI 1871682765

Title

President

Phone

(847) 877-8050

Specialties & licenses 1

Addresses

Other names 1

• Physical Therapy Pain Relief Clinic Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Beata Redlicki

  • Physical Therapist
  • Lake Zurich, IL
  • NPI 1871682765
  NPD (past) Authorized official

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356430425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 PARK VIEW LN",
            "city": "HAWTHORN WOODS",
            "state": "IL",
            "postal_code": "600478972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 E MAIN ST",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600473413",
            "telephone_number": "847-877-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL REHABILITATION GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REDLICKI",
        "authorized_official_first_name": "BEATA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-877-8050",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy Pain Relief Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sue Potempa
• Scott D Pouyat, O.D
• Pauchuru Prasadarao, M.D.
• Prestige Wellbeing LLC
• Procare Dental Group, P.C. (Village Square Dentistry)
• PSL Virtus WLZ Venture, LLC (Azpira Place of Lake Zurich)
• Purple Clover Recovery
• Rachel Quick, DPT
• Sanya Qureshi, PHARMD
• Yoshie Rabottini

• Physical Therapy Clinic/Center in Lake Zurich, IL
• Providers in Lake Zurich, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.