Practical Rehab Services, LTD.

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

PRACTICAL REHAB SERVICES, LTD.

Practice address

3550 College Ave
Suite a
Alton, IL 62002-5008

Phone

(618) 465-6566

Fax

(618) 465-6573

NPI assigned

Nov 17, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Sharon K Johnson, PHD

Title

President

Phone

(618) 465-6566

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 5

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

• Carolyn Jean Duvall, LCSW

  • Clinical Social Worker
  • Edwardsville, IL
  • NPI 1376736868
  NPD (past)
• Sarah Edler, SLP

  • Speech-Language Pathologist
  • Alton, IL
  • NPI 1598988545
  NPD (past)
• Carol Grapperhaus, OT

  • Occupational Therapist
  • Alton, IL
  • NPI 1134342116
  NPD (past)
• Dena Marshall, PT

  • Physical Therapist
  • Alton, IL
  • NPI 1013130038
  NPD (past)
• Megan Marie Zimmerman, PTA

  • Physical Therapy Assistant
  • Alton, IL
  • NPI 1215257324
  NPD (past)

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770565491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3550 COLLEGE AVE",
            "address_2": "SUITE A",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025008",
            "telephone_number": "618-465-6566",
            "fax_number": "618-465-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 COLLEGE AVE",
            "address_2": "SUITE A",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620025008",
            "telephone_number": "618-465-6566",
            "fax_number": "618-465-6573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTICAL REHAB SERVICES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-465-6566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "327366709001",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "348589310001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Michael Porter, D.C.
• Amber Potillo
• Jenna Potter, MA,LPC
• Patricia L Potter, LCPC
• Christopher W Pottmeyer, M.D.
• Timothy Joseph Pranger, D.M.D.
• Carla Price Lybarger
• Carmen Price, MA
• Casey Price, MA
• Principia Health & Wellness Pharmacy Inc

• Rehabilitation Clinic/Center in Alton, IL
• Providers in Alton, IL by specialty
• Rehabilitation Clinic/Center in Illinois

• 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.