Organization Active NPI

Rehab Shop PC

  • Physical Therapist
  • Lemont, IL
National Provider Identifier
1578882668
Registry record updated May 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070009775 Issued in IL
Legal business name
REHAB SHOP PC
Practice address
12455 Thornberry Dr
Lemont, IL 60439-4616
Phone
(708) 691-4186
NPI assigned
May 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2010

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

Authorized official

Name
Mr. Danilo Castigador, P.T.NPI 1386756419
Title
President
Phone
(708) 691-4186

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 070009775 IL Primary

Addresses

Primary practice location

12455 Thornberry Dr
Lemont, IL 60439-4616

Mailing address

12455 Thornberry Dr
Lemont, IL 60439-4616
Phone (708) 691-4186

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1578882668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12455 THORNBERRY DR",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604394616",
            "telephone_number": "708-691-4186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12455 THORNBERRY DR",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604394616",
            "telephone_number": "708-691-4186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB SHOP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-27",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "CASTIGADOR",
        "authorized_official_first_name": "DANILO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-691-4186",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070009775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; 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.