Pro-Rehab Services, P.C.

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

PRO-REHAB SERVICES, P.C.

Practice address

6400 W College Dr
Suite 800
Palos Heights, IL 60463-1785

Phone

(708) 489-6777

Fax

(708) 489-6303

NPI assigned

Jul 7, 2006

Organization subpart

No

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

Authorized official

Name

Jacob Mutholam, PTNPI 1801828272

Title

President/Administrator

Phone

(708) 489-6777

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Outpatient physical therapy / speech pathology certification: CCN 146656

Legal name

PRO REHAB SERVICES

Certification status

Active

Provider type (POS)

Outpatient physical therapy / speech pathology

Participating since

Nov 13, 1998

Last certification

Mar 11, 2021

Ownership / control type

Proprietary

Facility address

6400 College Drive Suite 800
Palos Heights, IL 60463

Locations

Practitioners 9

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

• Jacob Mutholam, PT, DPT

  • Physical Therapist
  • Palos Heights, IL
  • NPI 1801828272
  NPD Authorized official
• Amy Beckman, PT

  • Physical Therapist
  • Tinley Park, IL
  • NPI 1144769258
  NPD (past)
• Joan M D'Astice, PT

  • Physical Therapist
  • Palos Heights, IL
  • NPI 1598053662
  NPD (past)
• Darlene Huisenga, PT, PCS

  • Pediatric Physical Therapist
  • Oak Lawn, IL
  • NPI 1750313052
  NPD (past)
• Bobby L Kalladanthyil, MPT

  • Physical Therapist
  • Palos Heights, IL
  • NPI 1699790618
  NPD (past)
• Ina Luneckas, ST

  • Speech-Language Pathologist
  • Palos Heights, IL
  • NPI 1457401150
  NPD (past)
• Chinny Maliakal, PT

  • Physical Therapist
  • Palos Heights, IL
  • NPI 1205158607
  NPD (past)
• James Sitzberger, PT

  • Physical Therapist
  • Palos Heights, IL
  • NPI 1043360746
  NPD (past)
• Corinne Stewart, MHS, CCC/SLP

  • Speech-Language Pathologist
  • Palos Heights, IL
  • NPI 1184640435
  NPD (past)

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1720010168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 W COLLEGE DR",
            "address_2": "SUITE 800",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631785",
            "telephone_number": "708-489-6777",
            "fax_number": "708-489-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 W COLLEGE DR",
            "address_2": "SUITE 800",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631785",
            "telephone_number": "708-489-6777",
            "fax_number": "708-489-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-REHAB SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-07",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MUTHOLAM",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "708-489-6777",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Presence Behavioral Health
• Scott P Price, M.D.
• Primal Chiropractic LTD.
• Prime Cardiac Association P C
• John R Principe, MD
• Professsional Health Associates LTD.
• Prompt Care Physicians
• Providence Operations, LLC
• Psychological Associates
• Lisa Pudusseri, DO

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Illinois

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.