Functional Pilates LLC

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

Legal business name

FUNCTIONAL PILATES LLC

Practice address

1725 S California Ave
Palatine, IL 60067-7527

Phone

(847) 612-0530

NPI assigned

Dec 29, 2022

Last updated

Dec 29, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Rebecca Ann Sheade, OTR/LNPI 1407087257

Title

Owner

Phone

(847) 612-0530

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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.

• Rebecca A. Sheade, OTR

  • Occupational Therapist
  • Palatine, IL
  • NPI 1407087257

  Multi-Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1672272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672272000000",
    "number": "1902519416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 S CALIFORNIA AVE",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600677527",
            "telephone_number": "847-612-0530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 S CALIFORNIA AVE",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600677527",
            "telephone_number": "847-612-0530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL PILATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-29",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A",
        "authorized_official_last_name": "SHEADE",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-612-0530",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APPLYING TO BCBS NETWORK",
            "identifier": "056009012",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Edward Frett, LCPC
• Amy L Friel
• Christine Friesen, DPT
• Anna Froehling
• David Froggatt, DDS
• Natalie Furfaro
• Lorraine Carol Gade, MSW, LCSW
• Jessica Gaines
• Gajda Health Plus Network Inc
• Robert Gajowniczek, P.T.

• Physical Rehabilitation Occupational Therapist in Palatine, IL
• Providers in Palatine, IL by specialty
• Physical Rehabilitation Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2022; 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.