Organization Active NPI

Rehabilitation Services LLC

  • Physical Therapist
  • Oak Lawn, IL
National Provider Identifier
1821477662
Registry record updated May 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
REHABILITATION SERVICES LLC
Practice address
6737 W 95TH St
Ste a
Oak Lawn, IL 60453-2112
Phone
(708) 741-5678
NPI assigned
May 27, 2015
Last updated
May 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2015

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

Authorized official

Name
Michal ParzuchNPI 1538687322
Title
Owner
Phone
(708) 741-5678

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: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

6737 W 95TH St
Ste a
Oak Lawn, IL 60453-2112

Mailing address

10354 Central Ave
Apt 4
Oak Lawn, IL 60453-4662

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161213000651 IL Part B Supplier - Clinic/Group Practice 7618257445 Receives reassigned benefits from 2 practitioners
Practice locations: Oak Lawn, IL

National Provider Directory

National Provider Directory

Locations

6737 W 95th St
Ste A
Oak Lawn, IL 60453
Phone (708) 741-5678

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432684800000",
    "number": "1821477662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10354 CENTRAL AVE",
            "address_2": "APT 4",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604534662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6737 W 95TH ST",
            "address_2": "STE A",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532112",
            "telephone_number": "708-741-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A",
        "authorized_official_last_name": "PARZUCH",
        "authorized_official_first_name": "MICHAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-741-5678"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.