Family Rehabilitation & Wellness Services LLC
Organization Active NPI Physical Therapy Clinic/Center · Rushville, IL
NPI 1386201291 · NPPES record last updated Dec 15, 2019
Key facts
- NPI
- 1386201291
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapy Clinic/Center 261QP2000X
- Legal business name
- FAMILY REHABILITATION & WELLNESS SERVICES LLC
- Practice address
- 117 S Congress St
Rushville, IL 62681-1407 - Phone
- (309) 204-1906
- NPI assigned
- May 27, 2019
- Organization subpart
- No
Authorized official
- Name
- Dr. Julie Marie Ross, PT, DPT, CLT
- Title
- Owner
- Phone
- (309) 204-1906
Practitioners 2
-
Julie Ross, PT
-
Lori Ann Thomas, OTR/L, CLT-LANA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190717003202 | IL | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 7618202391 |
Receives reassigned benefits from 2 practitioners Practice locations: Rushville, IL |
National Provider Directory
Locations
120 W Lafayette St
Rushville, IL 62681
Phone (309) 204-1906
117 S Congress St
Rushville, IL 62681
Phone (309) 204-1906
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Yes |
Addresses
Primary practice location
117 S Congress St
Rushville, IL 62681-1407
Mailing address
113 S Congress St
Rushville, IL 62681-1407
Phone (309) 204-1906
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | julie@familywellness.physio | Direct |
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All providers in Rushville, IL · Physical Therapy Clinic/Center in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.