NPIMap

Organization Active NPI

Rehab Dynamix LTD

  • Chiropractor
  • Chicago, IL
National Provider Identifier
1831479104
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
038010386 Issued in IL
Legal business name
REHAB DYNAMIX LTD
Practice address
5614 S Pulaski Rd
Upstairs
Chicago, IL 60629-4420
Phone
(773) 358-8600
Fax
(773) 304-2551
NPI assigned
Aug 18, 2011
Last updated
Aug 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Authorized official

Name
Dr. Ian R Belton, DCNPI 1457423774
Title
VP
Phone
(773) 358-8600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 038010386 IL Primary

Addresses

Primary practice location

5614 S Pulaski Rd
Upstairs
Chicago, IL 60629-4420

Mailing address

630 N. Franklin St
Suite 801
Chicago, IL 60654
Phone (773) 358-8600

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1313625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313625600000",
    "number": "1831479104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 N. FRANKLIN ST",
            "address_2": "SUITE 801",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60654",
            "telephone_number": "773-358-8600",
            "fax_number": "773-304-2551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5614 S PULASKI RD",
            "address_2": "UPSTAIRS",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606294420",
            "telephone_number": "773-358-8600",
            "fax_number": "773-304-2551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB DYNAMIX LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-08-18",
        "status": "A",
        "authorized_official_last_name": "BELTON",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "773-358-8600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "IL",
            "license": "038010386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.