Organization Active NPI

Star Rehabilitation Inc

  • Occupational Therapist
  • Glenview, IL
National Provider Identifier
1386847119
Registry record updated Jul 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
STAR REHABILITATION INC
Practice address
3424 Ralmark LN
Glenview, IL 60026-1553
Phone
(773) 407-3244
NPI assigned
Jun 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2011

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

Authorized official

Name
Irma Tan, OTRLNPI 1104121664
Title
President
Phone
(773) 407-3244

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
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

3424 Ralmark LN
Glenview, IL 60026-1553

Mailing address

PO Box 480537
Niles, IL 60714
Phone (773) 407-3244

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310515200000",
    "number": "1386847119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 480537",
            "city": "NILES",
            "state": "IL",
            "postal_code": "60714",
            "telephone_number": "773-407-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3424 RALMARK LN",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261553",
            "telephone_number": "773-407-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR REHABILITATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2011-07-13",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "IRMA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-407-3244",
        "authorized_official_credential": "OTRL"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2011; 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.