Organization Active NPI

Newsome Rehabilitation Center

  • Physical Therapist
  • Kankakee, IL
National Provider Identifier
1821284829
Registry record updated Sep 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070007936 Issued in IL
Legal business name
NEWSOME REHABILITATION CENTER
Practice address
450 N Kennedy Dr
Kankakee, IL 60901-2900
Phone
(815) 932-7787
Fax
(815) 932-7895
NPI assigned
Sep 24, 2007
Last updated
Sep 24, 2007By the provider in NPPES
Organization subpart
Yes
Parent organization
NEWSOME PHYSICAL THERAPY NETWORKAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 24, 2007

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

Authorized official

Name
Ms. Donna Hatzl
Title
Billing and Collections Supervisor
Phone
(815) 744-4770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070007936 IL Primary

Addresses

Primary practice location

450 N Kennedy Dr
Kankakee, IL 60901-2900

Mailing address

450 N Kennedy Dr
Kankakee, IL 60901-2900
Phone (815) 932-7787

National Provider Directory

National Provider Directory
Part of
Newsome Rehabilitation

Locations

450 N Kennedy Dr
Kankakee, IL 60901
Phone (815) 932-7787

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1821284829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 N KENNEDY DR",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012900",
            "telephone_number": "815-932-7787",
            "fax_number": "815-932-7895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 N KENNEDY DR",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609012900",
            "telephone_number": "815-932-7787",
            "fax_number": "815-932-7895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWSOME REHABILITATION CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEWSOME PHYSICAL THERAPY NETWORK",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "HATZL",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "BILLING AND COLLECTIONS SUPERVISOR",
        "authorized_official_telephone_number": "815-744-4770",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070007936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kankakee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.