NPIMap

Organization Active NPI

Stroke Rehabilitation Inc.

  • Physical Therapy Clinic/Center
  • Burbank, IL
National Provider Identifier
1386887776
Registry record updated May 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
070016639 Issued in IL
Legal business name
STROKE REHABILITATION INC.
Practice address
5625 W 79TH St
Burbank, IL 60459-1349
Phone
(630) 674-1187
NPI assigned
Apr 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2009

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

Authorized official

Name
Amrendra Kumar, OTR/LNPI 1245472075
Title
Administrator
Phone
(630) 674-1187

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X 056005280 IL
Physical Therapy Clinic/Center 261QP2000X 070016639 IL Primary
Rehabilitation Clinic/Center 261QR0400X 056005280 IL
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X 056005280 IL
Cardiac Rehabilitation Clinic/Center 261QR0404X 056005280 IL
Occupational Medicine Clinic/Center 261QX0100X 056005280 IL

Addresses

Primary practice location

5625 W 79TH St
Burbank, IL 60459-1349

Mailing address

558 Cleavland Dr
Bolingbrook, IL 60440-9021
Phone (630) 674-1187

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1239667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1386887776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 CLEAVLAND DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604409021",
            "telephone_number": "630-674-1187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 W 79TH ST",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604591349",
            "telephone_number": "630-674-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STROKE REHABILITATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-14",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "AMRENDRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "630-674-1187",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "IL",
            "license": "056005280",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070016639",
            "primary": true
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "IL",
            "license": "056005280",
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "IL",
            "license": "056005280",
            "primary": false
        },
        {
            "code": "261QR0404X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Cardiac Facilities",
            "state": "IL",
            "license": "056005280",
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "IL",
            "license": "056005280",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; 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.