Sarah Jane Pebelske, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070014219 Issued in IL

Practice address

6314 S Pulaski Rd
Chicago, IL 60629-4706

Phone

(773) 284-9888

Fax

(773) 284-9288

NPI assigned

Jan 5, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chicago Rehabilitation Services Inc

  • Physical Therapist
  • Chicago, IL
  • NPI 1881766921
  NPD (past)

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

{
    "created_epoch": "1231113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247702400000",
    "number": "1508002064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6314 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294706",
            "telephone_number": "773-284-9888",
            "fax_number": "773-284-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6314 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294706",
            "telephone_number": "773-284-9888",
            "fax_number": "773-284-9288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEBELSKE",
        "first_name": "SARAH",
        "middle_name": "JANE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-05",
        "last_updated": "2009-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070014219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BULE CROSS BLUE SHEILD OF ILLINOIS",
            "identifier": "1633794",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Charles Pearson, MD
• Pamela D Pearson
• Sernella A Pearson
• William Michael Pearson
• Terri Peaslee
• James David Pecard IV, PA-C
• Maria Pecard
• Carlos Pecciotto Jr.
• Jessica A Pech, APN, CPNP
• Therese Suzanne Pechacek

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; 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.