Empowerme Rehabilitation Illinois, LLC
Organization Active NPI Occupational Therapist · Edwardsville, IL
NPI 1679098263 · NPPES record last updated Jul 27, 2026
Key facts
- NPI
- 1679098263
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Occupational Therapist 225X00000X
- Legal business name
- EMPOWERME REHABILITATION ILLINOIS, LLC
- Practice address
- 7108 Marine Rd
Edwardsville, IL 62025-4282 - Phone
- (844) 502-7996
- NPI assigned
- Aug 4, 2017
- Organization subpart
- No
Authorized official
- Name
- John David Church
- Title
- Vice President of Finance
- Phone
- (618) 972-5228
Other NPIs with the same Medicare PAC ID 5
Member of 1
Practitioners 484
-
Rose Ann Bates I, P.T.
-
Ryan D Beaty, PT
-
Michael Beavin, PT, DPT
-
Paige Beck, MS CCC SLP
-
Anju Behal, OCCUPATIONAL THERAPI
-
Angelo Belardo, DPT
-
Elizabeth Boyer, OTR/L
-
Andrea Marie Bryan, OTR/L
-
Sheryl B Bucasas, PT
-
Patricia A Buckley, P.T.
-
Samantha Jo Cameron, OTR/L
-
Erin Kathleen Campbell, PT, DPT
-
Carly Jean Carlisle, MOT, OTR/L
-
Catherine Carrier, OTR/L
-
James Walter Chamales, OTR/L
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171020001353 | IL | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 2365718277 | Receives reassigned benefits from 327 practitioners |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | |||
| Occupational Therapist |
225X00000X | Yes | ||
| Speech-Language Pathologist |
235Z00000X |
Addresses
Primary practice location
7108 Marine Rd
Edwardsville, IL 62025-4282
Mailing address
PO Box 736005
Dallas, TX 75373-6005
Phone (844) 502-7996
Other practice location 1
518 Legacy Dr
Waterloo, IL 62298-1706
Phone (314) 925-0880
Other practice location 2
1000 Airport Rd
Godfrey, IL 62035-2929
Phone (844) 502-7996
Other practice location 3
4040 Cannonball Trl
Yorkville, IL 60560-4761
Phone (630) 296-5663
Other practice location 4
3450 Village Ln
Granite City, IL 62040-7704
Phone (618) 931-3988
Other practice location 5
2225 W Morton Ave
Jacksonville, IL 62650-2626
Phone (314) 925-0880
Other practice location 6
13887 Progress Dr
Breese, IL 62230-3661
Phone (844) 502-7996
Other practice location 7
211 N Market St
Sparta, IL 62286-2081
Phone (314) 925-0880
Other practice location 8
1207 Vandalia St
Collinsville, IL 62234-4092
Phone (844) 502-7996
Other practice location 9
3333 75th St
Woodridge, IL 60517-2730
Phone (314) 925-0880
Other practice location 10
429 S Main St
Shiloh, IL 62269-3080
Phone (844) 502-7996
Other practice location 11
220 Field Crossing Dr
Highland, IL 62249-3896
Phone (314) 925-0880
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service | Other | eSolutions Inc. |
Other providers in Edwardsville, IL
- Morgan Nicole Ekstrom
- Brianna Susan Ellis
- Gabrielle A Ellis
- Robert J Elston
- Empower Psychiatric Health and Wellness PLCC
- Felecia V Ernst
- Evercare at University LLC
- Evercare of Edwardsville LLC
- Ayumi E Fairchild
- Fairview Heights Medical Group SC
All providers in Edwardsville, IL · Occupational Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.