Organization Active NPI

Rehabilitation Networks Inc.

  • Physical Therapy Clinic/Center
  • Evanston, IL
National Provider Identifier
1982877718
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
070001664 Issued in IL
Legal business name
REHABILITATION NETWORKS INC.
Practice address
1713 Central St
Evanston, IL 60201-1507
Phone
(847) 679-4824
Fax
(847) 679-4090
NPI assigned
Apr 13, 2008
Last updated
Jun 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Authorized official

Name
Mr. Walter F Smith, PTNPI 1124020219
Title
President
Phone
(847) 679-4824

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 070001664 IL Primary

Addresses

Primary practice location

1713 Central St
Evanston, IL 60201-1507

Mailing address

1713 Central St
Evanston, IL 60201-1507
Phone (847) 679-4824

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080519000788 IL Part B Supplier - Clinic/Group Practice 1355410192 Receives reassigned benefits from 1 practitioner
Practice locations: Skokie, IL

National Provider Directory

National Provider Directory

Locations

10024 Skokie Blvd
Ste 304
Skokie, IL 60077
Phone (847) 677-8577

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1208044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371513600000",
    "number": "1982877718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 CENTRAL ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011507",
            "telephone_number": "847-679-4824",
            "fax_number": "847-679-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 CENTRAL ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011507",
            "telephone_number": "847-679-4824",
            "fax_number": "847-679-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION NETWORKS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-13",
        "last_updated": "2013-06-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-679-4824",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070001664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.