NPIMap

Organization Active NPI

Newsome Rehabilitation Center

Doing business as Newsome Physical Therapy Network

  • Physical Therapist
  • Channahon, IL
National Provider Identifier
1760544951
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
NEWSOME REHABILITATION CENTER
Doing business as
Newsome Physical Therapy Network
Practice address
25445 S Pheasant LN
Unit H
Channahon, IL 60410-8838
Phone
(815) 521-0111
Fax
(815) 521-0222
NPI assigned
Dec 14, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Donna S Hatzl
Title
Billing Collections Supervisor
Phone
(815) 744-4770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X IL Primary

Addresses

Primary practice location

25445 S Pheasant LN
Unit H
Channahon, IL 60410-8838

Mailing address

920 Essington Rd
Joliet, IL 60435-2859
Phone (815) 744-4770

Other names 1

  • Newsome Physical Therapy Network Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Newsome Rehabilitation3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

25445 S Pheasant Ln
Ste H
Channahon, IL 60410
Phone (815) 521-0111

Practitioners & affiliated clinicians

Practitioners 6

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": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760544951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 ESSINGTON RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604352859",
            "telephone_number": "815-744-4770",
            "fax_number": "815-744-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25445 S PHEASANT LN",
            "address_2": "UNIT H",
            "city": "CHANNAHON",
            "state": "IL",
            "postal_code": "604108838",
            "telephone_number": "815-521-0111",
            "fax_number": "815-521-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWSOME REHABILITATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HATZL",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "BILLING COLLECTIONS SUPERVISOR",
        "authorized_official_telephone_number": "815-744-4770",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Newsome Physical Therapy Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Channahon, IL

Sources for this page

  • 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.