Organization Active NPI

Advance Pain & Rehabmd

Doing business as Advanced Pain & Rehab

  • Pain Clinic/Center
  • Hobart, IN
National Provider Identifier
1457088411
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
ADVANCE PAIN & REHABMD
Doing business as
Advanced Pain & Rehab
Practice address
6193 Marcella Blvd
Hobart, IN 46342-4634
Phone
(312) 726-4646
NPI assigned
Aug 1, 2022
Last updated
Aug 1, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Authorized official

Name
Brian Cassani, DC
Title
Supervisor
Phone
(312) 767-1230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X NU Primary

Addresses

Primary practice location

6193 Marcella Blvd
Hobart, IN 46342-4634

Mailing address

161 N Clark St Ste 2500
Chicago, IL 60601-3272
Phone (312) 726-4646

Other names 1

  • Advanced Pain & Rehab Doing business as

National Provider Directory

National Provider Directory

Locations

161 N Clark St
Ste 2500
Chicago, IL 60601

6193 Marcella Blvd
Hobart, IN 46342
Phone (312) 726-4646

NPI Registry JSON

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659312000000",
    "number": "1457088411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 N CLARK ST STE 2500",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606013272",
            "telephone_number": "312-726-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6193 MARCELLA BLVD",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463424634",
            "telephone_number": "312-726-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE PAIN & REHABMD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-01",
        "last_updated": "2022-08-01",
        "certification_date": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CASSANI",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "312-767-1230",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Pain & Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hobart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.