Organization Active NPI

Ther-a-Care Rehabilitation LTD

  • Physical Therapist
  • Coal City, IL
National Provider Identifier
1609940162
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070011646 Issued in IL
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
473901815001MedicaidIL
3232028OtherILBLUE CROSS BLUE SHIELD
DF7483OtherILRAILROAD MEDICARE GROUP NUMBER
P00390229OtherILRAILROAD MEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.