Physical Therapy Rehab of Illinois Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070-007491 Issued in IL

Legal business name

PHYSICAL THERAPY REHAB OF ILLINOIS INC

Practice address

205 E Butterfield Rd
Ste. #154
Elmhurst, IL 60126-5103

Phone

(630) 639-1153

Fax

(630) 261-0716

NPI assigned

Feb 1, 2007

Last updated

Jun 2, 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

Hossam R Mohamed, LPT

Title

Owner

Phone

(630) 639-1153

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243900800000",
    "number": "1649318833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1S132 SUMMIT AVE",
            "address_2": "STE. #108",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601813955",
            "telephone_number": "630-261-0727",
            "fax_number": "630-261-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E BUTTERFIELD RD",
            "address_2": "STE. #154",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265103",
            "telephone_number": "630-639-1153",
            "fax_number": "630-261-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY REHAB OF ILLINOIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2009-06-02",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "HOSSAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-639-1153",
        "authorized_official_credential": "LPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-007491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL PROVIDER #",
            "identifier": "02232534",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Kalarithara Philip, FNP-BC
• Christina Maria Philippou, MS CCC-SLP
• Phillips Family Medical Center SC
• Ofelia Phillips, M.D.
• Phocus Physical Therapy, PLLC
• Physician House-Call Services, Inc
• Physicians of Internal Medicine and Pediatrics
• Physiotherapy Associates Inc
• Kathryn Sue Piazza, CCC-SLP/L
• Donald John Piergalski, RPH. CDM.

• Physical Therapist in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.