Protocol 1 Rehab, LLC

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

Legal business name

PROTOCOL 1 REHAB, LLC

Practice address

524 W 5TH Ave
Naperville, IL 60563-2901

Phone

(630) 362-6055

NPI assigned

Jun 30, 2023

Organization subpart

No

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

Authorized official

Name

Dr. William Bolster, DCNPI 1861840464

Title

Owner

Phone

(630) 362-6055

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• William Bolster, D.C.

  • Chiropractor
  • Naperville, IL
  • NPI 1861840464
  NPD Authorized official

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1386321404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 W 5TH AVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632901",
            "telephone_number": "630-362-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 W 5TH AVE",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605632901",
            "telephone_number": "630-362-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROTOCOL 1 REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-30",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "BOLSTER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-362-6055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Professional Infusion Consultants Corporation
• Professional Therapy Consultants, Inc.
• Progress PT Inc.
• Lindsay Baron Prombaum, LCPC
• Protean Archetypes LLC
• Laura M Provancal, LCSW
• Maria Anne Provancal, OTR/L
• Providence Counseling Associates, LLC
• Providentia Counseling Group LLC
• Pry Rehab Services Inc

• Sports Physical Therapist in Naperville, IL
• Providers in Naperville, IL by specialty
• Sports Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.