Organization Active NPI

Pediatric Adult Rehabilitation Associates

Doing business as PARA's Peach Tree

  • Massage Therapist
  • Joliet, IL
National Provider Identifier
1710965918
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
PEDIATRIC ADULT REHABILITATION ASSOCIATES
Doing business as
PARA's Peach Tree
Practice address
350 Houbolt Rd
Suite 101
Joliet, IL 60431-8305
Phone
(815) 725-9992
Fax
(815) 725-9993
NPI assigned
Jan 6, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mrs. Shauna J Ruzich, MS CCC-SLP
Title
President/Clinical Manager
Phone
(815) 725-9992

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
Physical Therapist 225100000X
Massage Therapist 225700000X Primary
Occupational Therapist 225X00000X IL
Speech-Language Assistant 2355S0801X IL
Speech-Language Pathologist 235Z00000X IL
Speech-Language Pathologist 235Z00000X 22003708A IN

Addresses

Primary practice location

350 Houbolt Rd
Suite 101
Joliet, IL 60431-8305

Mailing address

350 Houbolt Rd
Suite 101
Joliet, IL 60431-8305
Phone (815) 725-9992

Other identifiers 1

IdentifierTypeStateIssuer
405254137001MedicaidIL

Other names 1

  • PARA's Peach Tree Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Para's Peach Tree2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

350 Houbolt Rd
Ste 101
Joliet, IL 60431
Phone (815) 725-9992

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1710965918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 HOUBOLT RD",
            "address_2": "SUITE 101",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604318305",
            "telephone_number": "815-725-9992",
            "fax_number": "815-725-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 HOUBOLT RD",
            "address_2": "SUITE 101",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604318305",
            "telephone_number": "815-725-9992",
            "fax_number": "815-725-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC ADULT REHABILITATION ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-06",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "RUZICH",
        "authorized_official_first_name": "SHAUNA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/CLINICAL MANAGER",
        "authorized_official_telephone_number": "815-725-9992",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IN",
            "license": "22003708A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "405254137001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PARA's Peach Tree",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.