Empowerme Rehabilitation Illinois, LLC
Organization Active NPI Rehabilitation Clinic/Center · Harrisburg, IL
NPI 1497326268 · NPPES record last updated Dec 14, 2023
Key facts
- NPI
- 1497326268
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rehabilitation Clinic/Center 261QR0400X
- Legal business name
- EMPOWERME REHABILITATION ILLINOIS, LLC
- Practice address
- 220 Ron Crank Dr
Harrisburg, IL 62946-3915 - Phone
- (844) 502-7996
- NPI assigned
- Jul 2, 2021
- Organization subpart
- No
Authorized official
- Name
- John David Church
- Title
- Vice President of Fiance
- Phone
- (618) 972-5228
Corporate family (same tax ID) 5
National Provider Directory
- Tax ID family
- Empowerme Rehabilitation Illinois LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | |||
| Occupational Therapist |
225X00000X | |||
| Speech-Language Pathologist |
235Z00000X | |||
| Rehabilitation Clinic/Center | 261QR0400X | Yes |
Addresses
Primary practice location
220 Ron Crank Dr
Harrisburg, IL 62946-3915
Mailing address
PO Box 736005
Dallas, TX 75373-6005
Phone (844) 502-7996
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc. |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 14, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.