Organization Active NPI

South Shore Med & Rehab Center

  • Physical Therapy Clinic/Center
  • Chicago, IL
National Provider Identifier
1972885325
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
SOUTH SHORE MED & REHAB CENTER
Practice address
2600 S Michigan Ave
Suite LL-B
Chicago, IL 60616-2857
Phone
(312) 842-6433
Fax
(312) 842-6201
NPI assigned
Sep 12, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Authorized official

Name
Velma Smith
Title
Manager
Phone
(312) 842-6433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

2600 S Michigan Ave
Suite LL-B
Chicago, IL 60616-2857

Mailing address

2600 S Michigan Ave
Suite LL-B
Chicago, IL 60616-2857
Phone (312) 842-6433

Other names 1

  • Access therapy, LLC Other name

National Provider Directory

National Provider Directory

Locations

2600 S Michigan Ave
Ste Llb
Chicago, IL 60616
Phone (312) 842-6433

NPI Registry JSON

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1972885325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 S MICHIGAN AVE",
            "address_2": "SUITE LL-B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162857",
            "telephone_number": "312-842-6433",
            "fax_number": "312-842-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S MICHIGAN AVE",
            "address_2": "SUITE LL-B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606162857",
            "telephone_number": "312-842-6433",
            "fax_number": "312-842-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH SHORE MED & REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-12",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "VELMA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "312-842-6433"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Access therapy, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.