Empowerme Rehabilitation Illinois, LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

EMPOWERME REHABILITATION ILLINOIS, LLC

Practice address

928 Enterprise LN
Mount Carmel, IL 62863-2922

Phone

(844) 502-7996

NPI assigned

Jul 2, 2021

Last updated

Sep 23, 2024By 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

John David Church

Title

Vice President of Finance

Phone

(618) 972-5228

Specialties & licenses 4

Addresses

Electronic endpoints 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Empowerme Rehabilitation, LLC

  • Multi-Specialty Clinic/Center
  • Wilsonville, OR
  • NPI 1598495426

  Member Of

  NPD member

Locations

Practitioners 479

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.

• John Malacad Abantao Jr.

  • Physical Therapist
  • Paxton, IL
  • NPI 1003554759
  NPD
• Elizabeth Omotayo Abe

  • Physical Therapist
  • Peoria, IL
  • NPI 1790220283
  NPD
• Holly Lynn Abell

  • Physical Therapist
  • Cahokia, IL
  • NPI 1134647902
  NPD
• Meredith Anne Adams

  • Speech-Language Pathologist
  • Rantoul, IL
  • NPI 1659127587
  NPD
• Chelsea Jo Albert, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Mount Vernon, IL
  • NPI 1609385327
  NPD
• Jenna Allie

  • Occupational Therapist
  • Effingham, IL
  • NPI 1851847313
  NPD
• Jurizon Atienza

  • Physical Therapist
  • Joliet, IL
  • NPI 1932537578
  NPD
• Rose Ann Bates I, P.T.

  • Physical Therapist
  • Belleville, IL
  • NPI 1922314475
  NPD
• Ryan D Beaty, PT

  • Physical Therapist
  • Quinicy, IL
  • NPI 1427505007
  NPD
• Michael Beavin, PT, DPT

  • Physical Therapist
  • Salem, IL
  • NPI 1316393713
  NPD
• Paige Beck, MS CCC SLP

  • Speech-Language Pathologist
  • Marion, IL
  • NPI 1326440652
  NPD
• Anju Behal, OCCUPATIONAL THERAPI

  • Occupational Therapist
  • Wheaton, IL
  • NPI 1457555344
  NPD

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727049600000",
    "number": "1962073734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 736005",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753736005",
            "telephone_number": "844-502-7996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 ENTERPRISE LN",
            "city": "MOUNT CARMEL",
            "state": "IL",
            "postal_code": "628632922",
            "telephone_number": "844-502-7996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERME REHABILITATION ILLINOIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-02",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A",
        "authorized_official_last_name": "CHURCH",
        "authorized_official_first_name": "JOHN DAVID",
        "authorized_official_title_or_position": "VICE PRESIDENT OF FINANCE",
        "authorized_official_telephone_number": "618-972-5228"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.cms.gov/research-statistics-data-systems/electronic-submission-medical-documentation-esmd/cms-health-information-handler",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.13.34.110.1.998.01",
            "affiliationName": "CMS HIH",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "7500 Security Boulevard",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "21244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Diane Lynn Destefano, APRN
• Sarah Devine, BS
• Phillip Pratt Dewolf, R. PH.
• Zachary Eaglin
• Eghe Egiebor, MD
• Barbara Escobedo, R.N.
• Evansville Cancer Care, PC
• Sonja Fernandez, BS
• Erica Fickes, RN, CRNA
• George Andrew Fischer, DMD

• Rehabilitation Clinic/Center in Mount Carmel, IL
• Providers in Mount Carmel, IL by specialty
• Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; 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.