Active NPI
Carle Sports Medicine
- Rehabilitation Hospital
- Urbana, IL
National Provider Identifier
1861440778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital
- Legal business name
- CARLE SPORTS MEDICINE
- Practice address
- 810 W Anthony Dr
Urbana, IL 61802-7431 - Phone
- (217) 383-3300
- NPI assigned
- May 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kary Rae Collette, ATC,LAT
- Title
- Athletic Trainer Certified
- Phone
- (217) 239-2936
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital | 283X00000X | Primary |
Addresses
Primary practice location
810 W Anthony Dr
Urbana, IL 61802-7431
Mailing address
2509 Brett Drive
Champaign, IL 61821
Phone (217) 239-2936
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1861440778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2509 BRETT DRIVE",
"city": "CHAMPAIGN",
"state": "IL",
"postal_code": "61821",
"telephone_number": "217-239-2936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 W ANTHONY DR",
"city": "URBANA",
"state": "IL",
"postal_code": "618027431",
"telephone_number": "217-383-3300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARLE SPORTS MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "COLLETTE",
"authorized_official_first_name": "KARY",
"authorized_official_middle_name": "RAE",
"authorized_official_title_or_position": "ATHLETIC TRAINER CERTIFIED",
"authorized_official_telephone_number": "217-239-2936",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "ATC,LAT"
},
"taxonomies": [
{
"code": "283X00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Urbana, IL
Sources for this page
- 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.