Active NPI
Accelerated Rehabilitation Center of Kenosha LTD
- Occupational Therapist
- Grayslake, IL
National Provider Identifier
1982008249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Legal business name
- ACCELERATED REHABILITATION CENTER OF KENOSHA LTD
- Practice address
- 15 Commerce Dr
Suite 106
Grayslake, IL 60030-7807 - Phone
- (847) 548-7782
- Fax
- (847) 548-7784
- NPI assigned
- Oct 15, 2014
- Last updated
- Oct 15, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric C Warner
- Title
- Ceo
- Phone
- (815) 577-2840
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
15 Commerce Dr
Suite 106
Grayslake, IL 60030-7807
Mailing address
2998 Momentum PL
Chicago, IL 60689-5330
Phone (262) 657-0222
National Provider Directory
National Provider DirectoryMember organizations 1
Organizations listed as members of this organization in the National Provider Directory.
-
dba Athletico Physical Therapy
- Physical Therapist
- Oak Brook, IL
- NPI 1649566951
Member Of
Locations
15 Commerce Dr
Ste 106
Grayslake, IL 60030
Phone (847) 548-7782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413331200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1413331200000",
"number": "1982008249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2998 MOMENTUM PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606895330",
"telephone_number": "262-657-0222",
"fax_number": "262-657-7190"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 COMMERCE DR",
"address_2": "SUITE 106",
"city": "GRAYSLAKE",
"state": "IL",
"postal_code": "600307807",
"telephone_number": "847-548-7782",
"fax_number": "847-548-7784"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ACCELERATED REHABILITATION CENTER OF KENOSHA LTD",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-15",
"last_updated": "2014-10-15",
"status": "A",
"authorized_official_last_name": "WARNER",
"authorized_official_first_name": "ERIC",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "815-577-2840"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grayslake, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.