Rehabedge, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070008303 Issued in IL

Legal business name

REHABEDGE, LLC

Practice address

127 N Main St
Hillsboro, IL 62049

Phone

(217) 532-3330

Fax

(217) 532-5149

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

John Mekala, PT

Title

Owner

Phone

(217) 532-3330

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364774400000",
    "number": "1376603522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 N MAIN ST",
            "city": "HILLSBORO",
            "state": "IL",
            "postal_code": "62049",
            "telephone_number": "217-532-3330",
            "fax_number": "217-532-5149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 N MAIN ST",
            "city": "HILLSBORO",
            "state": "IL",
            "postal_code": "62049",
            "telephone_number": "217-532-3330",
            "fax_number": "217-532-5149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABEDGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2013-04-01",
        "status": "A",
        "authorized_official_last_name": "MEKALA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-532-3330",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070008303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "204049",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "631493557001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Anne Pickerill, DPT
• Prairie Eye Center LTD
• Emily S. Prater, LCSW
• Precise Specialties Corporation
• Basundhara Raj
• Douglas Rice, MA, CCC-SLP
• Robert G. Balen D.M.D., LTD.
• Karli Robinson, PMHNP
• Cady Sanborn
• Pricha Sattayatam, MD

• Physical Therapist in Hillsboro, IL
• Providers in Hillsboro, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; 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.