Organization Active NPI

United Rehab Providers P.C

  • Specialist
  • Oak Lawn, IL
National Provider Identifier
1477508307
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
UNITED REHAB PROVIDERS P.C
Practice address
6060 W 95TH St
Oak Lawn, IL 60453-2778
Phone
(708) 952-1052
Fax
(708) 952-1053
NPI assigned
May 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Authorized official

Name
Ahmed Mohamed
Title
Phisical Therapist
Phone
(708) 952-1052

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Adult Day Care Clinic/Center 261QA0600X
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X

Addresses

Primary practice location

6060 W 95TH St
Oak Lawn, IL 60453-2778

Mailing address

6060 W 95TH St
Oak Lawn, IL 60453-2778
Phone (708) 952-1052

National Provider Directory

National Provider Directory

Locations

8224 S Kedzie Ave
Chicago, IL 60652
Phone (708) 226-9055

9030 S Commercial Ave
Chicago, IL 60617
Phone (773) 721-5656

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": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555286400000",
    "number": "1477508307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6060 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532778",
            "telephone_number": "708-952-1052",
            "fax_number": "708-952-1053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6060 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532778",
            "telephone_number": "708-952-1052",
            "fax_number": "708-952-1053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED REHAB PROVIDERS P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2019-04-15",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "PHISICAL THERAPIST",
        "authorized_official_telephone_number": "708-952-1052"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.