Rockford Medical Rehabilitation SC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

ROCKFORD MEDICAL REHABILITATION SC

Practice address

950 S Mulford Rd
Rockford, IL 61108-4274

Phone

(815) 381-8574

NPI assigned

Jul 3, 2007

Organization subpart

No

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

Authorized official

Name

Peter E Smith

Title

Billing Agent

Phone

(815) 965-8505

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael J Magidow, MD, PHD

  • Family Medicine Physician
  • Buffalo Grove, IL
  • NPI 1649479296
  NPD (past)
• Marina L. Kropp, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Mequon, WI
  • NPI 1255512141
  NPD (past)

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831397629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 FOREST VIEW AVE",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611086406",
            "telephone_number": "815-965-8505",
            "fax_number": "815-965-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S MULFORD RD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611084274",
            "telephone_number": "815-381-8574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKFORD MEDICAL REHABILITATION SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "BILLING AGENT",
        "authorized_official_telephone_number": "815-965-8505"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "04527136",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rockford Health System
• Rockford Healthcare & Rehabilitation Center LLC
• Rockford Hospitalist Group, LLC
• Rockford Hyperbaric Healing Center, Inc
• Rockford Infectious Disease Consultants, S.C.
• Rockford Memorial Hospital
• Rockford Modern Dental LLC
• Rockford Nar, LLC
• Rockford Neuromonitoring Group LLC
• Rockford NH LLC

• Physical Medicine & Rehabilitation Physician in Rockford, IL
• Providers in Rockford, IL by specialty
• Physical Medicine & Rehabilitation Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.