NPIMap

Organization Active NPI

Empowerme Rehabilitation Illinois, LLC

  • Occupational Therapist
  • Edwardsville, IL
National Provider Identifier
1679098263
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 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
Last updated
Jul 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Authorized official

Name
John David Church
Title
Vice President of Finance
Phone
(618) 972-5228

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Occupational Therapist 225X00000X Primary
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

1000 Airport Rd
Godfrey, IL 62035-2929
Phone (844) 502-7996

Other practice location 2

4040 Cannonball Trl
Yorkville, IL 60560-4761
Phone (630) 296-5663

Other practice location 3

220 Field Crossing Dr
Highland, IL 62249-3896
Phone (314) 925-0880

Other practice location 4

1207 Vandalia St
Collinsville, IL 62234-4092
Phone (844) 502-7996

Other practice location 5

13887 Progress Dr
Breese, IL 62230-3661
Phone (844) 502-7996

Other practice location 6

3450 Village Ln
Granite City, IL 62040-7704
Phone (618) 931-3988

Other practice location 7

518 Legacy Dr
Waterloo, IL 62298-1706
Phone (314) 925-0880

Other practice location 8

429 S Main St
Shiloh, IL 62269-3080
Phone (844) 502-7996

Other practice location 9

3333 75th St
Woodridge, IL 60517-2730
Phone (314) 925-0880

Other practice location 10

211 N Market St
Sparta, IL 62286-2081
Phone (314) 925-0880

Other practice location 11

2225 W Morton Ave
Jacksonville, IL 62650-2626
Phone (314) 925-0880

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service Other eSolutions Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171020001353 IL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2365718277 Receives reassigned benefits from 327 practitioners

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Member of 1

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

Locations

2225 W Morton Ave
Jacksonville, IL 62650
Phone (217) 245-2996

518 Legacy Dr
Waterloo, IL 62298
Phone (618) 939-4344

Practitioners & affiliated clinicians

Practitioners 361

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.

View all 361

NPI Registry JSON

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1679098263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 736005",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753736005",
            "telephone_number": "844-502-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7108 MARINE RD",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620254282",
            "telephone_number": "844-502-7996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Godfrey",
            "state": "IL",
            "postal_code": "620352929",
            "country_code": "US",
            "telephone_number": "844-502-7996",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4040 Cannonball Trl",
            "address_purpose": "LOCATION",
            "city": "Yorkville",
            "state": "IL",
            "postal_code": "605604761",
            "country_code": "US",
            "telephone_number": "630-296-5663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "220 Field Crossing Dr",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "IL",
            "postal_code": "622493896",
            "country_code": "US",
            "telephone_number": "314-925-0880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1207 Vandalia St",
            "address_purpose": "LOCATION",
            "city": "Collinsville",
            "state": "IL",
            "postal_code": "622344092",
            "country_code": "US",
            "telephone_number": "844-502-7996",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13887 Progress Dr",
            "address_purpose": "LOCATION",
            "city": "Breese",
            "state": "IL",
            "postal_code": "622303661",
            "country_code": "US",
            "telephone_number": "844-502-7996",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3450 Village Ln",
            "address_purpose": "LOCATION",
            "city": "Granite City",
            "state": "IL",
            "postal_code": "620407704",
            "country_code": "US",
            "telephone_number": "618-931-3988",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "518 Legacy Dr",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "IL",
            "postal_code": "622981706",
            "country_code": "US",
            "telephone_number": "314-925-0880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "429 S Main St",
            "address_purpose": "LOCATION",
            "city": "Shiloh",
            "state": "IL",
            "postal_code": "622693080",
            "country_code": "US",
            "telephone_number": "844-502-7996",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3333 75th St",
            "address_purpose": "LOCATION",
            "city": "Woodridge",
            "state": "IL",
            "postal_code": "605172730",
            "country_code": "US",
            "telephone_number": "314-925-0880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 N Market St",
            "address_purpose": "LOCATION",
            "city": "Sparta",
            "state": "IL",
            "postal_code": "622862081",
            "country_code": "US",
            "telephone_number": "314-925-0880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2225 W Morton Ave",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "IL",
            "postal_code": "626502626",
            "country_code": "US",
            "telephone_number": "314-925-0880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EMPOWERME REHABILITATION ILLINOIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-04",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "CHURCH",
        "authorized_official_first_name": "JOHN DAVID",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "618-972-5228"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://199.119.81.30:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRResponse_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1066.1",
            "affiliationName": "eSolutions Inc.",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CSV",
            "address_1": "8215 W 108th Ter",
            "city": "Overland Park",
            "state": "KS",
            "country_code": "US",
            "postal_code": "662101661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edwardsville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.