NPIMap

Organization Active NPI

Strader Vocational and Rehabilitation Consulting, Inc

Doing business as Strader Rehab

  • Counselor
  • Collinsville, IL
National Provider Identifier
1417492406
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
STRADER VOCATIONAL AND REHABILITATION CONSULTING, INC
Doing business as
Strader Rehab
Practice address
106 W Main St
Collinsville, IL 62234-3015
Phone
(618) 346-6641
Fax
(618) 346-6638
NPI assigned
Dec 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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

Authorized official

Name
Mr. Jack L. Strader, MS
Title
Ceo
Phone
(618) 346-6641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

106 W Main St
Collinsville, IL 62234-3015

Mailing address

106 W Main St
Collinsville, IL 62234-3015
Phone (618) 346-6641

Other names 1

  • Strader Rehab Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Strader Rehab2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 2

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": "1482969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482969600000",
    "number": "1417492406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W MAIN ST",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622343015",
            "telephone_number": "618-346-6641",
            "fax_number": "618-346-6638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W MAIN ST",
            "city": "COLLINSVILLE",
            "state": "IL",
            "postal_code": "622343015",
            "telephone_number": "618-346-6641",
            "fax_number": "618-346-6638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRADER VOCATIONAL AND REHABILITATION CONSULTING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-29",
        "last_updated": "2016-12-29",
        "status": "A",
        "authorized_official_last_name": "STRADER",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "618-346-6641",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Strader Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Collinsville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.