Organization Active NPI

United Care Rehab, Inc.

  • Physical Therapist
  • Joliet, IL
National Provider Identifier
1730414699
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070014683 Issued in IL
Legal business name
UNITED CARE REHAB, INC.
Practice address
2203 Pembridge LN
Joliet, IL 60431-7731
Phone
(815) 409-8301
NPI assigned
Oct 11, 2009
Last updated
May 25, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Authorized official

Name
Mr. Ronaldo Basto Coloma, RPTNPI 1699900910
Title
President
Phone
(815) 409-8301

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070014683 IL Primary

Addresses

Primary practice location

2203 Pembridge LN
Joliet, IL 60431-7731

Mailing address

2203 Pembridge LN
Joliet, IL 60431-7731
Phone (815) 409-8301

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1255219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274745600000",
    "number": "1730414699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2203 PEMBRIDGE LN",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604317731",
            "telephone_number": "815-409-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2203 PEMBRIDGE LN",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604317731",
            "telephone_number": "815-409-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED CARE REHAB, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-11",
        "last_updated": "2010-05-25",
        "status": "A",
        "authorized_official_last_name": "COLOMA",
        "authorized_official_first_name": "RONALDO",
        "authorized_official_middle_name": "BASTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-409-8301",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070014683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 25, 2010; 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.