P D Rehab, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

P D REHAB, INC.

Doing business as

PDR Physical Therapy & Wellness Center

Practice address

920 E Northwest Hwy
Mount Prospect, IL 60056-3444

Phone

(847) 459-4779

Fax

(847) 459-5771

NPI assigned

Jan 11, 2007

Last updated

Feb 21, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Peter Norbert Domagala, PT

Title

Owner

Phone

(847) 459-4779

Specialties & licenses 1

Addresses

Other names 1

• PDR Physical Therapy & Wellness Center Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Piotr Norbert Domagala, PT

  • Physical Therapist
  • Mount Prospect, IL
  • NPI 1558411561
  Medicare reassignment Care Compare group NPD
• Karolina Roman, PT

  • Physical Therapist
  • Mount Prospect, IL
  • NPI 1508625567
  Medicare reassignment Care Compare group NPD
• Krzysztof Krasowski, PT

  • Physical Therapist
  • Palatine, IL
  • NPI 1205931342
  Medicare reassignment Care Compare group
• Ewa Krecisz, PT

  • Physical Therapist
  • West Union, SC
  • NPI 1073663746

  IL

  Medicare reassignment NPD
• Tom Ciepiaszuk, LPTA

  • Physical Therapy Assistant
  • Prospect Heights, IL
  • NPI 1083894026
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1487704409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 E NORTHWEST HWY",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563444",
            "telephone_number": "847-459-4779",
            "fax_number": "847-459-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 E NORTHWEST HWY",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600563444",
            "telephone_number": "847-459-4779",
            "fax_number": "847-459-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P D REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "DOMAGALA",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "NORBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-459-4779",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PDR Physical Therapy & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Barbara Osborn, RPH
• Laura Peterson Otto, PT
• Myeshia Owten
• Errol S Oztekin, D.D.S.
• Kevin John Oztekin, D.C.
• P4 Counseling and Wellness Center, LLC
• Dayana Pagan, COTA/L
• Sasikala Paidi, M.D.
• Elizabeth Panackal, DPT
• Harry Panagopoulos, DC

• Physical Therapist in Mount Prospect, IL
• Providers in Mount Prospect, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; 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.