Organization Active NPI

Wellness & Rehab Inc

Doing business as Therapy on King Dr

  • Physical Therapist
  • Orland Park, IL
National Provider Identifier
1790406692
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
WELLNESS & REHAB INC
Doing business as
Therapy on King Dr
Practice address
15345 Wexford LN
Orland Park, IL 60462-6710
Phone
(630) 242-0877
Fax
(708) 775-7051
NPI assigned
Sep 8, 2022
Last updated
Dec 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Authorized official

Name
Ovais Khan
Title
Administrator
Phone
(630) 242-0877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

15345 Wexford LN
Orland Park, IL 60462-6710

Mailing address

15345 Wexford LN
Orland Park, IL 60462-6710
Phone (630) 242-0877

Other names 1

  • Therapy on King Dr Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671580800000",
    "number": "1790406692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15345 WEXFORD LN",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604626710",
            "telephone_number": "630-242-0877",
            "fax_number": "708-775-7051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15345 WEXFORD LN",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604626710",
            "telephone_number": "630-242-0877",
            "fax_number": "708-775-7051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS & REHAB INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "OVAIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "630-242-0877"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapy on King Dr",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.