Pediatric Adult Rehabilitation Associates

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

242001067 Issued in IL

Legal business name

PEDIATRIC ADULT REHABILITATION ASSOCIATES

Doing business as

Speech Tree

Practice address

2423 Glenwood Ave
Joliet, IL 60435-5483

Phone

(815) 725-9992

Fax

(815) 725-9993

NPI assigned

Nov 7, 2008

Organization subpart

No

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

Authorized official

Name

Shauna J Ruzich, MS CCC SLP

Title

Director

Phone

(815) 725-9992

Specialties & licenses 1

Addresses

Other names 1

• Speech Tree Doing business as

Tax ID family

Para's Peach Tree2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Pediatric Adult Rehabilitation Associates

  dba PARA's Peach Tree

  • Massage Therapist
  • Joliet, IL
  • NPI 1710965918
  NPD tax ID

Locations

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

{
    "created_epoch": "1226016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226016000000",
    "number": "1659525301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2423 GLENWOOD AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355483",
            "telephone_number": "815-725-9992",
            "fax_number": "815-725-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 GLENWOOD AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604355483",
            "telephone_number": "815-725-9992",
            "fax_number": "815-725-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ADULT REHABILITATION ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-07",
        "last_updated": "2008-11-07",
        "status": "A",
        "authorized_official_last_name": "RUZICH",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "815-725-9992",
        "authorized_official_credential": "MS CCC SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242001067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Speech Tree",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• PCP of Essington
• Peaceful Nites Inc
• Peak Home Health Care, LLC (Newsome Home Health Care Agency, LLC)
• Pearl of Joliet LLC
• Jill Pearson
• Pediatric Adult Rehabilitation Associates (PARA's Peach Tree)
• Scott Pedziwiatr
• Lydia Pelc, FNP-BC
• Bradley Pell, LAT
• Richard Robert Pellegrini, DDS

• Speech-Language Pathologist in Joliet, IL
• Providers in Joliet, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2008; 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.