NPIMap

Organization Active NPI

Advanced Pain Rehab Inc

  • Physical Therapy Clinic/Center
  • Crystal Lake, IL
National Provider Identifier
1366910937
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ADVANCED PAIN REHAB INC
Practice address
7115 Virginia Rd Ste 122
Crystal Lake, IL 60014-3110
Phone
(224) 623-1599
NPI assigned
Nov 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

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

Authorized official

Name
Michael Lim, PTNPI 1336504281
Title
Owner/ President
Phone
(224) 623-1599

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

7115 Virginia Rd Ste 122
Crystal Lake, IL 60014-3110

Mailing address

7115 Virginia Rd Ste 122
Crystal Lake, IL 60014-3110
Phone (224) 623-1599

National Provider Directory

National Provider Directory

Locations

7115 Virginia Rd
Ste 122
Crystal Lake, IL 60014
Phone (224) 623-1599

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542067200000",
    "number": "1366910937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7115 VIRGINIA RD STE 122",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143110",
            "telephone_number": "224-623-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7115 VIRGINIA RD STE 122",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143110",
            "telephone_number": "224-623-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PAIN REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-13",
        "last_updated": "2018-11-13",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "224-623-1599",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.