NPIMap

Organization Active NPI

Premier Rehab Services LLC

  • Physical Therapist
  • Park Ridge, IL
National Provider Identifier
1801331178
Registry record updated Dec 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070021168 Issued in IL
Legal business name
PREMIER REHAB SERVICES LLC
Practice address
1600 Dempster St
Suite 102
Park Ridge, IL 60068-1109
Phone
(847) 296-9040
Fax
(847) 296-9050
NPI assigned
Dec 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2016

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

Authorized official

Name
Mr. Pritesh Patel, OTNPI 1366598419
Title
Owner
Phone
(847) 296-9040

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: 193200000X MULTI-SPECIALTY GROUP 225100000X 070021168 IL Primary

Addresses

Primary practice location

1600 Dempster St
Suite 102
Park Ridge, IL 60068-1109

Mailing address

1600 Dempster St
Suite 102
Park Ridge, IL 60068-1109
Phone (847) 296-9040

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1801331178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 DEMPSTER ST",
            "address_2": "SUITE 102",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681109",
            "telephone_number": "847-296-9040",
            "fax_number": "847-296-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 DEMPSTER ST",
            "address_2": "SUITE 102",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681109",
            "telephone_number": "847-296-9040",
            "fax_number": "847-296-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER REHAB SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-22",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRITESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-296-9040",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070021168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.