NPIMap

Organization Active NPI

Achieve Orthopedic Rehabilitation Specialists,LLC

  • Preferred Provider Organization
  • Orland Hills, IL
National Provider Identifier
1821258013
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
ACHIEVE ORTHOPEDIC REHABILITATION SPECIALISTS,LLC
Practice address
9121 159TH St
Suite D
Orland Hills, IL 60487-5901
Phone
(708) 403-1155
Fax
(708) 403-1177
NPI assigned
Jun 11, 2008
Organization subpart
Yes
Parent organization
ACHIEVE ORTHOPEDIC REHABILITATION SPECIALISTS,LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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

Authorized official

Name
Robert Dean Johnson, PT,MS,OCSNPI 1558381996
Title
Owner
Phone
(708) 403-1155

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
Preferred Provider Organization 305R00000X IL Primary

Addresses

Primary practice location

9121 159TH St
Suite D
Orland Hills, IL 60487-5901

Mailing address

9121 159TH St
Suite D
Orland Hills, IL 60487-5901
Phone (708) 403-1155

National Provider Directory

National Provider Directory
Part of
Achieve Orthopedic Rehabilitation Specialistsllc

Locations

100 Tower Dr
Ste 120B
Burr Ridge, IL 60527
Phone (630) 371-1623

100 E Walton St
Ste 700E
Chicago, IL 60611
Phone (312) 642-3963

1964 Springbrook Square Dr
Ste 104
Naperville, IL 60564
Phone (630) 369-8585

1365 Wiley Rd
Ste 154
Schaumburg, IL 60173
Phone (224) 653-8709

Practitioners & affiliated clinicians

Practitioners 3

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": "1213142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315440000000",
    "number": "1821258013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9121 159TH ST",
            "address_2": "SUITE D",
            "city": "ORLAND HILLS",
            "state": "IL",
            "postal_code": "604875901",
            "telephone_number": "708-403-1155",
            "fax_number": "708-403-1177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9121 159TH ST",
            "address_2": "SUITE D",
            "city": "ORLAND HILLS",
            "state": "IL",
            "postal_code": "604875901",
            "telephone_number": "708-403-1155",
            "fax_number": "708-403-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVE ORTHOPEDIC REHABILITATION SPECIALISTS,LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACHIEVE ORTHOPEDIC REHABILITATION SPECIALISTS,LLC",
        "enumeration_date": "2008-06-11",
        "last_updated": "2011-09-08",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-403-1155",
        "authorized_official_credential": "PT,MS,OCS"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; 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.