Organization Active NPI

Liberty Physical Therapy and Rehabilitation PC

  • Physical Therapy Clinic/Center
  • Chicago, IL
National Provider Identifier
1679526636
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
LIBERTY PHYSICAL THERAPY AND REHABILITATION PC
Practice address
6526 S Pulaski Rd
Chicago, IL 60629-5136
Phone
(773) 585-9460
Fax
(773) 585-7030
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Authorized official

Name
Mr. Khaled Rashad, PHYSICAL THERAPYNPI 1629020706
Title
President
Phone
(708) 334-9365

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

6526 S Pulaski Rd
Chicago, IL 60629-5136

Mailing address

6526 S Pulaski Rd
Chicago, IL 60629-5136
Phone (773) 585-9460

Other identifiers 1

IdentifierTypeStateIssuer
325886294001MedicaidIL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060124000417 IL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6204850712 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL; Cicero, IL

National Provider Directory

National Provider Directory

Locations

5448 S Kildare Ave
Chicago, IL 60632
Phone (773) 585-9460

6526 S Pulaski Rd
Chicago, IL 60629
Phone (773) 585-9460

2206 S Austin Blvd
Cicero, IL 60804
Phone (708) 222-8870

10715 W 159th St
Orland Park, IL 60467
Phone (708) 226-4961

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1679526636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6526 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606295136",
            "telephone_number": "773-585-9460",
            "fax_number": "773-585-7030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6526 S PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606295136",
            "telephone_number": "773-585-9460",
            "fax_number": "773-585-7030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY PHYSICAL THERAPY AND REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "RASHAD",
        "authorized_official_first_name": "KHALED",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-334-9365",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHYSICAL THERAPY"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "325886294001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.