Team Rehabilitation Il03 LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

TEAM REHABILITATION IL03 LLC

Practice address

1226 Ogden Ave
Downers Grove, IL 60515-2740

Phone

(630) 560-4855

Fax

(331) 251-6943

NPI assigned

Nov 4, 2014

Organization subpart

Yes

Parent organization

TEAM REHABILIATION SERVICES, LLCAs reported in NPPES

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

Authorized official

Name

Charles Rooney

Title

Ceo

Phone

(586) 416-9100

Specialties & licenses 1

Addresses

Part of

Team Rehabilitation LLC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Team Rehabilitation Services, LLC

  • Physical Therapist
  • Kokomo, IN
  • NPI 1790455046

  Member Of

  NPD member

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Irfan M Ibrahim, P.T DPT

  • Physical Therapist
  • Downers Grove, IL
  • NPI 1972796290
  NPD
• Malgorzata Zajac-Krupinski, PTA

  • Physical Therapy Assistant
  • Downers Grove, IL
  • NPI 1083070874
  NPD (past)

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

{
    "created_epoch": "1415059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484265600000",
    "number": "1669878500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE",
            "address_2": "SUITE 104",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480354258",
            "telephone_number": "586-416-9100",
            "fax_number": "586-416-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 OGDEN AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152740",
            "telephone_number": "630-560-4855",
            "fax_number": "331-251-6943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAM REHABILITATION IL03 LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEAM REHABILIATION SERVICES, LLC",
        "enumeration_date": "2014-11-04",
        "last_updated": "2017-01-13",
        "status": "A",
        "authorized_official_last_name": "ROONEY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "586-416-9100"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Spencer Tarbutton, DO
• Mark J. Tatara, MD
• James Kenneth Tauchen, FNP-BC
• Geraldine Lynn Taylor-Filer, LCSW, CADC
• David Leary Taylor, AUD
• Tender Hearts Therapy, LTD
• Indigo Terra, LMT
• The Choice Is Yours Counseling, LLC
• The Hearing Center
• The Hearing Center, LLC

• Physical Therapist in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; 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.