NPIMap

Organization Active NPI

Total Rehab, PC

  • Durable Medical Equipment & Medical Supplies
  • Roselle, IL
National Provider Identifier
1760603690
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
203-000567 Issued in IL
Legal business name
TOTAL REHAB, PC
Practice address
100 E Irving Park Rd
Ste. #107
Roselle, IL 60172-2048
Phone
(630) 439-0009
Fax
(630) 439-0011
NPI assigned
May 1, 2007
Last updated
Sep 22, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

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

Authorized official

Name
Scott M Wolff, LPTNPI 1578637401
Title
President
Phone
(630) 439-0009

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 203-000567 IL Primary

Addresses

Primary practice location

100 E Irving Park Rd
Ste. #107
Roselle, IL 60172-2048

Mailing address

100 E Irving Park Rd
Ste. #107
Roselle, IL 60172-2048
Phone (630) 439-0009

Other identifiers 1

IdentifierTypeStateIssuer
02232518OtherILBCBS

National Provider Directory

National Provider Directory
Tax ID family
Total Rehab PC2 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.

Practitioners & affiliated clinicians

Practitioners 1

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": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222041600000",
    "number": "1760603690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E IRVING PARK RD",
            "address_2": "STE. #107",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601722048",
            "telephone_number": "630-439-0009",
            "fax_number": "630-439-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E IRVING PARK RD",
            "address_2": "STE. #107",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601722048",
            "telephone_number": "630-439-0009",
            "fax_number": "630-439-0011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL REHAB, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2008-09-22",
        "status": "A",
        "authorized_official_last_name": "WOLFF",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-439-0009",
        "authorized_official_credential": "LPT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203-000567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "02232518",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roselle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; 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.