Individual Rehab, Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

INDIVIDUAL REHAB, INC

Practice address

806 Central Ave
Highland Park, IL 60035-5613

Phone

(312) 440-1122

Fax

(312) 440-1177

NPI assigned

Dec 15, 2006

Organization subpart

No

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

Authorized official

Name

Barry Mitchel

Title

President

Phone

(312) 440-1122

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 4

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

• Ameya Kaveeshwar, PT

  • Physical Therapist
  • Chicago, IL
  • NPI 1447475694
  NPD (past)
• Jose F Salinas, PT

  • Physical Therapist
  • Chicago, IL
  • NPI 1972728137
  NPD (past)
• Irene Mogil, D.O.

  • Diagnostic Radiology Physician
  • Williamsville, NY
  • NPI 1205038452
  NPD (past)
• Corina Lainez Murray, PT, DPT

  • Physical Therapist
  • Peoria, AZ
  • NPI 1982829149
  NPD (past)

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679635338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641043",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606641043",
            "telephone_number": "312-440-1122",
            "fax_number": "312-440-1144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 CENTRAL AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600355613",
            "telephone_number": "312-440-1122",
            "fax_number": "312-440-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIVIDUAL REHAB, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MITCHEL",
        "authorized_official_first_name": "BARRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-440-1122"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01622729",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Highland Park, IL
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.