Organization Active NPI

Carle Sports Medicine

  • Rehabilitation Hospital
  • Urbana, IL
National Provider Identifier
1861440778
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation HospitalTaxonomy code 283X00000X
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.