Active NPI
Ther-a-Care Rehabilitation LTD
- Physical Therapist
- Coal City, IL
National Provider Identifier
1609940162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070011646
- Legal business name
- THER-A-CARE REHABILITATION LTD
- Practice address
- 35 E Willow St Ste a
Coal City, IL 60416-1868 - Phone
- (815) 634-3550
- NPI assigned
- Nov 17, 2006
- Last updated
- Jun 13, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wanda J Nee, PT
- Title
- Owner
- Phone
- (815) 634-3550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070011646 | IL | Primary |
Addresses
Primary practice location
35 E Willow St Ste a
Coal City, IL 60416-1868
Mailing address
35 E Willow St Ste a
Coal City, IL 60416-1868
Phone (815) 634-3550
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 473901815001 | Medicaid | IL | |
| 3232028 | Other | IL | BLUE CROSS BLUE SHIELD |
| DF7483 | Other | IL | RAILROAD MEDICARE GROUP NUMBER |
| P00390229 | Other | IL | RAILROAD MEDICARE PTAN |
National Provider Directory
National Provider DirectoryLocations
35 E Willow St
Ste A
Coal City, IL 60416
Phone (815) 634-3550
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Physical Therapist
- Channahon, IL
- NPI 1184635864
-
- Physical Therapy Assistant
- Coal City, IL
- NPI 1255650545
-
- Physical Therapist
- Cape Coral, FL
- NPI 1245316843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1307923200000",
"number": "1609940162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 E WILLOW ST STE A",
"city": "COAL CITY",
"state": "IL",
"postal_code": "604161868",
"telephone_number": "815-634-3550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 E WILLOW ST STE A",
"city": "COAL CITY",
"state": "IL",
"postal_code": "604161868",
"telephone_number": "815-634-3550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THER-A-CARE REHABILITATION LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-17",
"last_updated": "2011-06-13",
"status": "A",
"authorized_official_last_name": "NEE",
"authorized_official_first_name": "WANDA",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "815-634-3550",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070011646",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "473901815001",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "3232028",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP NUMBER",
"identifier": "DF7483",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN",
"identifier": "P00390229",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coal City, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.