NPIMap

Organization Active NPI

Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path

Doing business as Axes Physical Therapy

  • Physical Therapist
  • Clinton, IL
National Provider Identifier
1376917187
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
IVYREHAB PHYSICAL THERAPY, OCCUPATIONAL THERAPY & SPEECH LANGUAGE PATH
Doing business as
Axes Physical Therapy
Practice address
204 E Washington St
Clinton, IL 61727-1715
Phone
(217) 570-0225
Fax
(217) 570-0227
NPI assigned
Nov 17, 2015
Last updated
May 7, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
IVYREHAB PHYSICAL THERAPY, OCCUPATIONAL THERAPY & SPEECH LANGUAGE PATHOLOGY, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Authorized official

Name
Ashley Griffiths
Title
Sr. Director of Provider Relations
Phone
(914) 294-4050

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary
Occupational Therapist 225X00000X
Speech-Language Pathologist 235Z00000X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

204 E Washington St
Clinton, IL 61727-1715

Mailing address

PO Box 416501
Boston, MA 02241-7594
Phone (914) 294-4050

Other names 3

  • Axes Physical Therapy Doing business as
  • IVYREHAB PHYSICAL THERAPY, PLLC Former legal business name
  • IVYREHAB PHYSICAL THERAPY, OCCUPATIONAL THERAPY & SPEECH LANGUAGE PATHOLOGY, PLLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160304000277 IL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7012997638 Receives reassigned benefits from 132 practitioners

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Ivyrehab Physical PLLC8 organizations share this tax ID, including this one
Part of
Ivyrehab Physical PLLC

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2906 Crossing Ct
Champaign, IL 61822
Phone (217) 356-6543

1818 N Wells St
Chicago, IL 60614
Phone (773) 782-2781

204 E Washington St
Clinton, IL 61727
Phone (217) 570-0225

3785 N Water St
Decatur, IL 62526
Phone (217) 675-7111

1810 Johns Dr
Glenview, IL 60025
Phone (847) 310-9650

111 N Larkin Ave
Ste C
Joliet, IL 60435
Phone (779) 970-5100

2 River Pl
Ste B
Lansing, IL 60438
Phone (708) 895-9860

1624 S Route 59
Ste 100
Naperville, IL 60564
Phone (331) 249-4088

840 Willow Rd
Ste P
Northbrook, IL 60062
Phone (224) 649-5600

1502 E Main St
St Charles, IL 60174
Phone (630) 797-5658

6400 S Cass Ave
Westmont, IL 60559

Practitioners & affiliated clinicians

Practitioners 148

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.

View all 148

NPI Registry JSON

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1376917187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416501",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022417594",
            "telephone_number": "914-294-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 E WASHINGTON ST",
            "city": "CLINTON",
            "state": "IL",
            "postal_code": "617271715",
            "telephone_number": "217-570-0225",
            "fax_number": "217-570-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVYREHAB PHYSICAL THERAPY, OCCUPATIONAL THERAPY & SPEECH LANGUAGE PATH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "IVYREHAB PHYSICAL THERAPY, OCCUPATIONAL THERAPY & SPEECH LANGUAGE PATHOLOGY, PLLC",
        "enumeration_date": "2015-11-17",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A",
        "authorized_official_last_name": "GRIFFITHS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "SR. DIRECTOR OF PROVIDER RELATIONS",
        "authorized_official_telephone_number": "914-294-4050"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Axes Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "IVYREHAB PHYSICAL THERAPY, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "IVYREHAB PHYSICAL THERAPY, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "IVYREHAB PHYSICAL THERAPY, OCCUPATIONAL THERAPY & SPEECH LANGUAGE PATHOLOGY, PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clinton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.