Organization Active NPI

Family Rehabilitation & Wellness Services LLC

  • Physical Therapy Clinic/Center
  • Rushville, IL
National Provider Identifier
1386201291
Registry record updated Dec 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 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
Last updated
Dec 15, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2019

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

Authorized official

Name
Dr. Julie Marie Ross, PT, DPT, CLTNPI 1073769949
Title
Owner
Phone
(309) 204-1906

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

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 1

TypeEndpointUseAffiliation
Direct Messaging Address julie@familywellness.physio Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory

Locations

117 S Congress St
Rushville, IL 62681
Phone (309) 204-1906

120 W Lafayette St
Rushville, IL 62681
Phone (309) 204-1906

Interoperability endpoints

  • Direct secure messaging: julie@familywellness.physio

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1558915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576368000000",
    "number": "1386201291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 S CONGRESS ST",
            "city": "RUSHVILLE",
            "state": "IL",
            "postal_code": "626811407",
            "telephone_number": "309-204-1906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 S CONGRESS ST",
            "city": "RUSHVILLE",
            "state": "IL",
            "postal_code": "626811407",
            "telephone_number": "309-204-1906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY REHABILITATION & WELLNESS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-27",
        "last_updated": "2019-12-15",
        "certification_date": "2019-12-15",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-204-1906",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, CLT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "julie@familywellness.physio",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "117 S Congress St",
            "city": "Rushville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "626811407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rushville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2019; 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.