Team Rehabilitation Il01 LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

TEAM REHABILITATION IL01 LLC

Practice address

1S443 Summit Ave
Suite 202
Oakbrook Terrace, IL 60181-3989

Phone

(630) 986-7501

Fax

(630) 324-0905

NPI assigned

Nov 6, 2014

Organization subpart

Yes

Parent organization

TEAM REHABILIATION SERVICES, LLCAs reported in NPPES

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

Authorized official

Name

Charles Rooney

Title

Ceo

Phone

(586) 416-9100

Specialties & licenses 1

Addresses

Part of

Team Rehabilitation LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Team Rehabilitation Services, LLC

  • Physical Therapist
  • Kokomo, IN
  • NPI 1790455046

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1415232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1366848145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE",
            "address_2": "SUITE 104",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480354258",
            "telephone_number": "586-416-9100",
            "fax_number": "586-416-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1S443 SUMMIT AVE",
            "address_2": "SUITE 202",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813989",
            "telephone_number": "630-986-7501",
            "fax_number": "630-324-0905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM REHABILITATION IL01 LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEAM REHABILIATION SERVICES, LLC",
        "enumeration_date": "2014-11-06",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "ROONEY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "586-416-9100"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Oakbrook Terrace, IL
• Providers in Oakbrook Terrace, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; 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.