Organization Active NPI

Universal Rehabilitation Services P.C.

  • Physical Therapist
  • Oak Lawn, IL
National Provider Identifier
1740377019
Registry record updated Mar 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-009068 Issued in IL
Legal business name
UNIVERSAL REHABILITATION SERVICES P.C.
Practice address
9614 Merton Ave
Oak Lawn, IL 60453-2705
Phone
(708) 296-9771
NPI assigned
Oct 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2013

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

Authorized official

Name
Hatem KhatabNPI 1083766794
Title
President
Phone
(708) 296-9771

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 070-009068 IL Primary

Addresses

Primary practice location

9614 Merton Ave
Oak Lawn, IL 60453-2705

Mailing address

9614 S Merton Ave
Oak Lawn, IL 60453
Phone (708) 296-9771

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060310000505 IL Part B Supplier - Clinic/Group Practice 7416915897 Receives reassigned benefits from 1 practitioner
Practice locations: Oak Lawn, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364515200000",
    "number": "1740377019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9614 S MERTON AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "60453",
            "telephone_number": "708-296-9771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9614 MERTON AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532705",
            "telephone_number": "708-296-9771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL REHABILITATION SERVICES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2013-03-29",
        "status": "A",
        "authorized_official_last_name": "KHATAB",
        "authorized_official_first_name": "HATEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-296-9771"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-009068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2013; 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.