Organization Active NPI

Gold Rehab Services LLC

  • Physical Therapist
  • Skokie, IL
National Provider Identifier
1831596477
Registry record updated Nov 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070013313 Issued in IL
Legal business name
GOLD REHAB SERVICES LLC
Practice address
7419 Karlov Ave
Skokie, IL 60076-3813
Phone
(773) 391-7287
Fax
(773) 391-7287
NPI assigned
Nov 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2014

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

Authorized official

Name
Robert GoldsteinNPI 1780997478
Title
Physical Therapist/Owner
Phone
(773) 391-7287

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: 193200000X MULTI-SPECIALTY GROUP 225100000X 070013313 IL Primary

Addresses

Primary practice location

7419 Karlov Ave
Skokie, IL 60076-3813

Mailing address

7419 Karlov Ave
Skokie, IL 60076-3813

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150317000248 IL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 9537486394 Receives reassigned benefits from 1 practitioner
Practice locations: Lincolnwood, IL

National Provider Directory

National Provider Directory

Locations

7370 N Lincoln Ave
Ste B
Lincolnwood, IL 60712
Phone (847) 312-2238

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416873600000",
    "number": "1831596477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7419 KARLOV AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7419 KARLOV AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763813",
            "telephone_number": "773-391-7287",
            "fax_number": "773-391-7287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLD REHAB SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-25",
        "last_updated": "2014-11-25",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/OWNER",
        "authorized_official_telephone_number": "773-391-7287"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070013313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2014; 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.