Fullerton Rehabilitation Center

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.005171 Issued in IL

Legal business name

FULLERTON REHABILITATION CENTER

Practice address

4849 W Fullerton Ave
Chicago, IL 60639-2503

Phone

(773) 237-2900

NPI assigned

Jan 14, 2009

Last updated

Jan 14, 2009By 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

Margaret M NaultyNPI 1629033360

Title

PT

Phone

(773) 594-0225

Specialties & licenses 1

Addresses

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.

• Margaret Naulty, P.T.

  • Physical Therapist
  • Chicago, IL
  • NPI 1629033360
  Authorized official Same address or phone

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1376780205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6445 N CENTRAL AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606462901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4849 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606392503",
            "telephone_number": "773-237-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLERTON REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "NAULTY",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PT",
        "authorized_official_telephone_number": "773-594-0225"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.005171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fullerton Kimball Medical & Surgical Center
• Fullerton Kimball Medical Group SC
• Fullerton Medical Surgical Center
• Fullerton MRI LLC
• Fullerton Occupational Medicine & Immediate Care SC
• Fullerton Skilled Nursing Facility LLC (Avantara Lincoln Park)
• Fullerton Skilled Nursing Facility LLC (Avantara Lincoln Park)
• Fullerton Skilled Nursing Facility LLC (Avantara Lincoln Park)
• Fullerton Surgery Center LTD
• Fullerton Vision LLC

• Physical Therapist in Chicago, IL
• Providers in Chicago, 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 14, 2009; 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.