Pediatric & Orthopedic Rehabilitation Associates, P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PEDIATRIC & ORTHOPEDIC REHABILITATION ASSOCIATES, P.C.

Practice address

3114 Oak Ridge Rd
Crystal Lake, IL 60012-1066

Phone

(815) 356-9510

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Mary Kay Dobbeck, P.T.NPI 1912021031

Title

President

Phone

(815) 356-9510

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mary Kay Dobbeck, P.T.

  • Physical Therapist
  • Crystal Lake, IL
  • NPI 1912021031
  NPD (past) Authorized official

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376667402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3114 OAK RIDGE RD",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600121066",
            "telephone_number": "815-356-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3114 OAK RIDGE RD",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600121066",
            "telephone_number": "815-356-9510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC & ORTHOPEDIC REHABILITATION ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOBBECK",
        "authorized_official_first_name": "MARY KAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-356-9510",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "361585236001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Pawlicki
• Breanna Elizabeth Payne
• Nicole Payton, PHARMD
• April Pearce
• Pearl of Crystal Lake, LLC
• Pediatric Dental Associates, PC
• Pediatric Place
• Pediatric Post LLC
• Pediatric Specialist of the NW MDSC
• Daniel Pegarsch, RBT

• Physical Therapist in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Physical Therapist 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.