Organization Active NPI

Vestra Rehabilitation Services, Inc

  • Physical Therapist
  • Northbrook, IL
National Provider Identifier
1972946168
Registry record updated Feb 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
VESTRA REHABILITATION SERVICES, INC
Practice address
3000 Dundee Rd
Suite 308
Northbrook, IL 60062-2422
Phone
(224) 306-2041
Fax
(224) 330-1366
NPI assigned
Apr 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2016

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

Authorized official

Name
Dariusz MuratNPI 1336248624
Title
Owner
Phone
(847) 293-7412

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

3000 Dundee Rd
Suite 308
Northbrook, IL 60062-2422

Mailing address

560 Greenview LN
Wheeling, IL 60090-3207
Phone (847) 293-7412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130801000182 IL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8022259167 Receives reassigned benefits from 1 practitioner
Practice locations: Deerfield, IL

National Provider Directory

National Provider Directory

Locations

400 Lake Cook Rd
Ste 208
Deerfield, IL 60015
Phone (847) 293-7412

2177 Shermer Rd
Northbrook, IL 60062
Phone (847) 293-7412

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455667200000",
    "number": "1972946168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 GREENVIEW LN",
            "city": "WHEELING",
            "state": "IL",
            "postal_code": "600903207",
            "telephone_number": "847-293-7412",
            "fax_number": "224-330-1366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 DUNDEE RD",
            "address_2": "SUITE 308",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600622422",
            "telephone_number": "224-306-2041",
            "fax_number": "224-330-1366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VESTRA REHABILITATION SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-08",
        "last_updated": "2016-02-17",
        "status": "A",
        "authorized_official_last_name": "MURAT",
        "authorized_official_first_name": "DARIUSZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-293-7412"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; 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.