NPIMap

Organization Active NPI

Grayslake Rehabilitation and Complete Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Grayslake, IL
National Provider Identifier
1982726683
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
GRAYSLAKE REHABILITATION AND COMPLETE PHYSICAL THERAPY LLC
Practice address
997 N Corporate Cir
Grayslake, IL 60030-7822
Phone
(847) 223-8001
Fax
(847) 986-3580
NPI assigned
Apr 4, 2007
Last updated
Apr 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Authorized official

Name
Ms. Robin Erker, P.T.NPI 1790816429
Title
Owner Manager
Phone
(847) 223-8001

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

997 N Corporate Cir
Grayslake, IL 60030-7822

Mailing address

997 N Corporate Cir
Grayslake, IL 60030-7822
Phone (847) 223-8001

Other names 1

  • Grayslake Rehab Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050318000597 IL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4183679400 Receives reassigned benefits from 16 practitioners
Practice locations: Grayslake, IL

National Provider Directory

National Provider Directory

Locations

997 N Corporate Cir
Grayslake, IL 60030
Phone (847) 223-8001

997 N Corporate Cir
Ste B
Grayslake, IL 60030
Phone (847) 223-8001

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1982726683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "997 N CORPORATE CIR",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600307822",
            "telephone_number": "847-223-8001",
            "fax_number": "847-986-3580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "997 N CORPORATE CIR",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600307822",
            "telephone_number": "847-223-8001",
            "fax_number": "847-986-3580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAYSLAKE REHABILITATION AND COMPLETE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "ERKER",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "847-223-8001",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grayslake Rehab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Apr 3, 2024; 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.