Ice Cap Rehab, LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

ICE CAP REHAB, LLC

Practice address

10451 W Palmeras Dr
Suite 237W
Sun City, AZ 85373-2011

Phone

(623) 933-1896

Fax

(623) 933-4015

NPI assigned

Apr 22, 2009

Last updated

Nov 18, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jenneth C Panaligan, RN

Title

Member

Phone

(630) 369-8450

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 2

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.

• Johnston Lajom, OT

  • Occupational Therapist
  • Chandler, AZ
  • NPI 1417182767
  NPD (past)
• Tony Martinez, PT

  • Physical Therapist
  • Peoria, AZ
  • NPI 1093048043
  NPD (past)

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

{
    "created_epoch": "1240358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258502400000",
    "number": "1629212691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10451 W PALMERAS DR",
            "address_2": "SUITE 115",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853732011",
            "telephone_number": "623-933-1896",
            "fax_number": "623-933-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10451 W PALMERAS DR",
            "address_2": "SUITE 237W",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853732011",
            "telephone_number": "623-933-1896",
            "fax_number": "623-933-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICE CAP REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-22",
        "last_updated": "2009-11-18",
        "status": "A",
        "authorized_official_last_name": "PANALIGAN",
        "authorized_official_first_name": "JENNETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "630-369-8450",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1629212691",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Hurd, MSN, APRN, FNP-BC
• Alana Hurwitz, NP-C
• Daryl Scott Hutchinson, M.D.
• Angie K Huxley, DO
• Linda Ngoc Huynh, PT
• Ryan J Imber
• Independent Medical Care, PLLC
• Infusion Management, Inc. (Infusion For Health)
• Zachary Ford Inman, CRNA
• Insight Health Corp. (Insight Imaging - West Valley)

• Rehabilitation Clinic/Center in Sun City, AZ
• Providers in Sun City, AZ by specialty
• Rehabilitation Clinic/Center in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.