PRACTICAL REHAB SERVICES, LTD. (NPI# 1770565491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770565491 |
| Entity Type | Organization |
| Organization Name | PRACTICAL REHAB SERVICES, LTD. |
| Practice Address |
3550 College Ave Suite A Alton IL 62002-5008 |
| Practice Telephone | 6184656566 |
| Practice Fax Number | 6184656573 |
| Mailing Telephone | 6184656566 |
| Mailing Fax Number | 6184656573 |
| Enumeration Date | 2005-11-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SHARON K JOHNSON (PRESIDENT) |
| Authorized Official Telephone | 6184656566 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 348589310001 | 05 | |
| IL | 327366709001 | 05 |
| Street Address |
3550 COLLEGE AVE SUITE A |
| City | ALTON |
| State | IL |
| Zip Code | 62002-5008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073505004 | David Robert Riedel | Internal Medicine | 3550 College Ave, Suite B, Alton, IL 62002-5008 | 2005-08-16 |
| 1134571060 | D & D Services Inc | Durable Medical Equipment & Medical Supplies | 3550 College Ave, Alton, IL 62002-5008 | 2016-07-03 |
| 1205205952 | D & D Services Inc | Home Health | 3550 College Ave, Suite C, Alton, IL 62002-5008 | 2015-09-23 |
| 1215257324 | Megan Marie Zimmerman | Physical Therapy Assistant | 3550 College Ave, Suite A, Alton, IL 62002-5008 | 2010-06-11 |
| 1134358633 | Brianna J Overbey | Specialist | 3550 College Ave, Alton, IL 62002-5008 | 2009-07-07 |
| 1710120928 | Barbara Michele Narens | Specialist | 3550 College Ave, Alton, IL 62002-5008 | 2009-04-17 |
| 1134342116 | Carol Grapperhaus | Occupational Therapist | 3550 College Ave, Suite A, Alton, IL 62002 | 2007-04-10 |
| 1013130038 | Dena Marshall | Physical Therapist | 3550 College Ave, Suite A, Alton, IL 62002 | 2007-04-10 |
| 1164476115 | Riverbend Head Start & Family Services | Counselor | 3550 College Ave, Ste C, Alton, IL 62002-7304 | 2006-05-22 |
| 1922050863 | Riverbend Head Start & Family Services | Marriage & Family Therapist | 3550 College Ave, Ste C, Alton, IL 62002-7304 | 2006-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285272807 | Jersey Community Hospital | Obstetrics & Gynecology | #2 Memorial Drive, Suite 203, Alton, IL 62002 | 2019-12-13 |
| 1912540659 | Kelsi N Harre | Community Health Worker | 2603 N. Rogers Ave., Alton, IL 62002 | 2019-10-25 |
| 1841848322 | Destiny L Miller | Technician | 3429 Meridocia St, Alton, IL 62002 | 2019-08-28 |
| 1942854633 | Jessica Leigh Jump | Speech-Language Pathologist | 453 Bluff Street, Alton, IL 62002 | 2019-07-30 |
| 1194380741 | Vasiliki Kytridou | Dentist | 2800 College Avenue Southern Il University School of De, Building 285, Alton, IL 62002 | 2019-05-08 |
| 1982125910 | Amy Nicole Spalding | Social Worker | 1123 Harrison St, Alton, IL 62002 | 2017-06-29 |
| 1962856310 | Patricia Gregory | Social Worker | 5090 Humbert Rd, Alton, IL 62002 | 2016-04-21 |
| 1447612510 | Alanna Lynn Mcnelly | Chiropractor | 219 Piasa St, Suite 200, Alton, IL 62002 | 2016-03-28 |
| 1174983050 | Roberta's Lovely Ladies Boutique | Mastectomy Fitter | 603 W. Delmar, Alton, IL 62002 | 2016-03-04 |
| 1184081556 | Darcy Graham | Nurse Practitioner | 4 Memorial Dr # 210, Alton, IL 62002 | 2016-01-15 |
| Find all providers in zip 62002 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235438227 | Maria V Roel | Clinic/Center | 8115 N Los Ebanos Rd, Ste 4, Alton, TX 78573-0000 | 2011-03-16 |
| 1114225398 | Dino Therapy Services LLC | Clinic/Center | 1315 W Main Ave, Suite 11, Alton, TX 78573-0000 | 2011-03-11 |
| 1356741342 | Dino Therapy Services LLC | Clinic/Center | 1315 W Main Ave Ste 11, Alton, TX 78573-1643 | 2014-08-27 |
| 1255635629 | Alton Kids Rehab, LLC | Clinic/Center | 3013 E Main Ave, Suite E, Alton, TX 78573-0931 | 2010-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386243020 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 2500 Williamson County Pkwy, Suite B, Marion, IL 62959-5271 | 2020-10-23 |
| 1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
| 1093320855 | Rci (wrs), LLC. | Clinic/Center | 17 West 580 Butterfield Road, Oakbrook Terrace, IL 60181 | 2020-09-09 |
| 1558975706 | Rci (wrs), LLC. | Clinic/Center | 370 Bank Dr, Mchenry, IL 60050-0506 | 2020-09-04 |
| 1588278741 | Rci (wrs), LLC. | Clinic/Center | 1151 S State St, Chicago, IL 60605-2304 | 2020-09-04 |
| 1487268553 | Rci (wrs), LLC. | Clinic/Center | 15 Tower Ct Ste 235, Gurnee, IL 60031-3354 | 2020-09-04 |
| 1285248351 | Rci (wrs), LLC. | Clinic/Center | 884 S Rand Rd Ste A, Lake Zurich, IL 60047-3412 | 2020-09-04 |
| 1295349355 | Rci (wrs), LLC. | Clinic/Center | 140 N Addison Ave Fl 2, Elmhurst, IL 60126-2810 | 2020-09-04 |
| 1043824287 | Rci (wrs), LLC. | Clinic/Center | 1525 E 55th St Ste 305, Chicago, IL 60615-5576 | 2020-09-04 |
| 1396359469 | Rci (wrs), LLC. | Clinic/Center | 939 W North Ave Ste 300, Chicago, IL 60642-7139 | 2020-09-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.