Northern Rehabilitation and Sports Medicine Associates
Organization Active NPI Physical Therapist · Genoa, IL
NPI 1831368612 · NPPES record last updated Aug 26, 2025
Key facts
- NPI
- 1831368612
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- NORTHERN REHABILITATION AND SPORTS MEDICINE ASSOCIATES
- Practice address
- 540 E Main Street
Suite 5
Genoa, IL 60135 - Phone
- (815) 784-6417
- Fax
- (815) 784-3178
- NPI assigned
- Feb 26, 2008
- Organization subpart
- No
Authorized official
- Name
- Mrs. Amy L Collins
- Title
- Office Manager
- Phone
- (815) 756-8524
Other NPIs on the same Medicare enrollment 2
Practitioners 18
-
Rob R Larkins, PT
-
Andrea Carter, PT
-
Kristin M Christian, P.T.
-
Brandon T Clement, P.T.
-
Tara C Knull, P.T.
-
Rachel Teresa Leclercq Leclercq, P.T., O.C.S
-
Fara Maniaci, L.M.T.
-
Aaron J Nevdal, PT
-
Kenneth A Olson, PT
-
Nicolas Pedraza, P.T.
-
Lauren Pinnow, PT
-
Liza Piper, P.T.
-
Todd A. Vanatta, P.T.
-
Christopher Michael Walters, PT, DPT, MS, ATC
-
Jarred Schaufel, L.M.T.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141015000118 | IL | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 6901887041 |
Receives reassigned benefits from 12 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Dekalb, IL; Genoa, IL; Rochelle, IL |
National Provider Directory
Locations
3266 Resource Pkwy
DeKalb, IL 60115
Phone (815) 756-2369
1211 Currency Ct
#C
Rochelle, IL 61068
Phone (815) 562-3299
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | IL | Yes |
Addresses
Primary practice location
540 E Main Street
Suite 5
Genoa, IL 60135
Mailing address
3266 Resource Parkway
Dekalb, IL 60115
Phone (815) 756-8524
Other providers in Genoa, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.