NPIMap

Organization Active NPI

Crescent Rehab Center, PC

  • Occupational Therapist
  • South Barrington, IL
National Provider Identifier
1568476893
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
CRESCENT REHAB CENTER, PC
Practice address
10 Executive CT
Suite 5
South Barrington, IL 60010-9506
Phone
(847) 277-9955
Fax
(847) 277-9958
NPI assigned
Jul 29, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Imitiaz Ahmed
Title
President
Phone
(847) 277-9955

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X IL
Occupational Therapist 225X00000X IL Primary

Addresses

Primary practice location

10 Executive CT
Suite 5
South Barrington, IL 60010-9506

Mailing address

10 Executive CT
Suite 5
South Barrington, IL 60010-9506
Phone (847) 277-9955

Other identifiers 1

IdentifierTypeStateIssuer
01633036OtherILBCBS PT AND OT GROUP

National Provider Directory

National Provider Directory

Locations

901 Essington Rd
Joliet, IL 60435
Phone (815) 367-3234

616 N North Ct
Ste 140
Palatine, IL 60067
Phone (847) 358-1960

672 N Northwest Hwy
Park Ridge, IL 60068
Phone (847) 696-0482

10 Executive Ct
Ste 5
South Barrington, IL 60010
Phone (224) 655-2487

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1568476893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 EXECUTIVE CT",
            "address_2": "SUITE 5",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600109506",
            "telephone_number": "847-277-9955",
            "fax_number": "847-277-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 EXECUTIVE CT",
            "address_2": "SUITE 5",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600109506",
            "telephone_number": "847-277-9955",
            "fax_number": "847-277-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT REHAB CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "IMITIAZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-277-9955",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PT AND OT GROUP",
            "identifier": "01633036",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.