Smile Pain & Rehab Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SMILE PAIN & REHAB INC

Practice address

1052 S Elmhurst Rd
Mount Prospect, IL 60056-4240

Phone

(847) 439-9100

NPI assigned

Nov 28, 2018

Organization subpart

No

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

Authorized official

Name

Jeongho Kim, DPTNPI 1811355944

Title

President

Phone

(929) 233-4979

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

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

• Jeongho Kim, PHYSICAL THERAPIST

  • Physical Therapist
  • Mount Prospect, IL
  • NPI 1811355944
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1543363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633046400000",
    "number": "1487124988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 ESSEX WAY APT 107",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600083339",
            "telephone_number": "929-233-4979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 S ELMHURST RD",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600564240",
            "telephone_number": "847-439-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE PAIN & REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-28",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JEONGHO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "929-233-4979",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sukhwinder K Singh, LSW
• Evans R Sirois, D.O
• SK Supplies Inc
• Sogi Skariah, RN
• Russel Lee Skyles, D.D.S.
• Larekia Smith
• Sally Smith
• Tima F. Smith, PSYD
• Alexandra Smolina
• Katherine Smoron, DC

• Physical Therapy Clinic/Center in Mount Prospect, IL
• Providers in Mount Prospect, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.