Organization Active NPI

Wellness Rehabillitation, LLC

  • Physical Medicine & Rehabilitation Physician
  • Orland Park, IL
National Provider Identifier
1811305097
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
WELLNESS REHABILLITATION, LLC
Practice address
10501 Emilie LN
Orland Park, IL 60467-8805
Phone
(708) 326-2300
NPI assigned
Jul 31, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Authorized official

Name
Melissa E.S. Xenidis, D.O.
Title
Manager
Phone
(708) 326-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

10501 Emilie LN
Orland Park, IL 60467-8805

Mailing address

10501 Emilie LN
Orland Park, IL 60467-8805

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406764800000",
    "number": "1811305097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 EMILIE LN",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 EMILIE LN",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604678805",
            "telephone_number": "708-326-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS REHABILLITATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-31",
        "last_updated": "2014-07-31",
        "status": "A",
        "authorized_official_last_name": "XENIDIS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "E.S.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "708-326-2300",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 31, 2014; 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.