PROREHAB PC (NPI# 1932700358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932700358 |
| Entity Type | Organization |
| Organization Name | PROREHAB PC |
| Practice Address |
600 Oakmont Ln Ste 600c Westmont IL 60559-5548 |
| Practice Telephone | 6305751980 |
| Practice Fax Number | 6309285080 |
| Mailing Telephone | 6305751980 |
| Mailing Fax Number | 6309285080 |
| Enumeration Date | 2020-11-03 |
| Last Update Date | 2020-11-03 |
| Authorized Official Name | JUANA GRANADOS (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 6305751980 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Athletico Physical Therapy | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114538097 | Prorehab PC | Physical Therapist | 3156 Telegraph Rd, Saint Louis, MO 63125-5500 | 2020-08-13 |
| 1629691639 | Prorehab PC | Physical Therapist | 603 S Bishop Ave Ste B, Rolla, MO 65401-4320 | 2020-05-26 |
| 1972148179 | Prorehab PC | Occupational Therapist | 301 S Maple St, Eldon, MO 65026-1854 | 2019-11-12 |
| 1992295570 | Prorehab PC | Physical Therapist | 709 W. Marion Street, Marion, IL 62959-2439 | 2018-05-18 |
| 1467949040 | Prorehab PC | Physical Therapist | 2136 William St Ste 115, Cape Girardeau, MO 63703-5830 | 2018-04-18 |
| 1053820175 | Prorehab PC | Clinic/Center | 11525 Olde Cabin Rd Ste 1, Saint Louis, MO 63141-7146 | 2017-09-20 |
| 1437675535 | Prorehab PC | Occupational Therapist | 1915 Carlyle Ave, Ste D, Belleville, IL 62220 | 2017-08-21 |
| 1043661465 | Prorehab PC | Physical Therapist | 6309 Ronald Reagan Dr, Lake St Louis, MO 63367-2681 | 2016-06-27 |
| 1316393366 | Prorehab PC | Physical Therapist | 3940 Green Mount Crossing Dr, Shiloh, IL 62269-7289 | 2016-05-09 |
| 1760435440 | Prorehab PC | Clinic/Center | 15884 Manchester Rd, Ellisville, MO 63011-2208 | 2006-05-17 |
| Street Address |
600 OAKMONT LN STE 600C |
| City | WESTMONT |
| State | IL |
| Zip Code | 60559-5548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194782102 | Tamara Jo Mechaelsen | Physical Therapist | 600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548 | 2006-04-26 |
| 1184223497 | Athletico Ltd | Clinic/Center | 600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548 | 2020-10-19 |
| 1750906400 | Logan J Koopman | Physical Therapist | 600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548 | 2020-06-09 |
| 1760022537 | Colton Schnetzer | Physical Therapist | 600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548 | 2020-01-09 |
| 1972142792 | Jenifer Weber | Physical Therapist | 600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548 | 2019-12-26 |
| 1942857271 | Rebecca Steimel | Physical Therapist | 600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548 | 2019-08-21 |
| 1942867908 | Brittney Mikkelsen | Physical Therapist | 600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548 | 2019-05-24 |
| 1790341121 | Gunnar Wyatt | Physical Therapist | 600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548 | 2019-05-10 |
| 1821561531 | Jenna Berg | Physical Therapist | 600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548 | 2019-01-04 |
| 1245706902 | Andrew J Koester | Physical Therapist | 600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548 | 2018-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366874 | Rachel Stoffregen | Physical Therapist | 812 East Ogden Ave, Westmont, IL 60559 | 2020-11-04 |
| 1528672581 | Kera C Evans | Counselor | 414 Plaza Dr. Suite 301, Westmont, IL 60559 | 2020-09-06 |
| 1912403023 | Bianca J Dassinger | Social Worker | 750 Pasquinelli Drive, #204, Westmont, IL 60559 | 2018-04-05 |
| 1689192163 | Jeannie Marie Gorman | Nutritionist | 310 W. Burlington Ave, Westmont, IL 60559 | 2017-09-05 |
| 1326563248 | Bethany Juby | Psychologist | 825 N Cass Ave Ste 112, Westmont, IL 60559 | 2017-08-11 |
| 1861917189 | Marisa Raineri | Physical Therapist | 750 Pasquinelli Dr., #204, Westmont, IL 60559 | 2017-08-08 |
| 1093185209 | Kristin Kalivoda | Pharmacy Technician | 2 N. Cass Avenue, Westmont, IL 60559 | 2015-09-30 |
| 1780076679 | Katherine Celine Smith | Nurse Practitioner | 1010 Executive Drive, Suite 200, Westmont, IL 60559 | 2015-03-02 |
| 1841690898 | Kimberly Libby | Physical Therapist | 801 N Cass Ave Ste 100, Westmont, IL 60559 | 2014-08-27 |
| 1083036792 | Deborah Carsten | Counselor | 460 Quail Ridge Drive, Westmont, IL 60559 | 2014-01-15 |
| Find all providers in zip 60559 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223497 | Athletico Ltd | Clinic/Center | 600 Oakmont Ln Ste 600c, Westmont, IL 60559-5548 | 2020-10-19 |
| 1275903494 | Edward Health Ventures | Clinic/Center | 4 E Ogden Ave, Westmont, IL 60559-3506 | 2015-09-30 |
| 1376896076 | Amey J Muzumdar Dc Sc | Clinic/Center | 850 N Cass Ave, Suite 101, Westmont, IL 60559-1394 | 2012-10-18 |
| 1235307877 | Salt Creek Vein Treatment Center LLC | Clinic/Center | 777 Oakmont Ln, Suite 1200, Westmont, IL 60559-5511 | 2008-02-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568069805 | Elite Spine & Wellness Center, Inc | Clinic/Center | 5898 Pathfinder Rd, Rockford, IL 61109-4008 | 2020-10-08 |
| 1407453236 | Dirsi, Inc | Clinic/Center | 2112 N Dayton St, Chicago, IL 60614-4302 | 2020-10-05 |
| 1588261770 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 2701 W 68th St Fl 3, Chicago, IL 60629-1813 | 2020-10-01 |
| 1013514298 | Mount Sinai Community Foundation Dba Sinai Medical Group | Clinic/Center | 1500 S Fairfield Ave Fl 4, Chicago, IL 60608-1782 | 2020-10-01 |
| 1841804879 | Chicago Poly Clinic LLC | Clinic/Center | 2446 W Devon Ave, Chicago, IL 60659-1913 | 2020-09-08 |
| 1386258226 | Ortho Spine Surgical LLC | Clinic/Center | 1925 E 95th St Ste 220, Chicago, IL 60617-4710 | 2020-09-08 |
| 1821607425 | Desired Medical Services Incorporated | Clinic/Center | 371 Mackinaw Ave, Calumet City, IL 60409-2524 | 2020-07-29 |
| 1639787823 | Md Infusions, Pllc | Clinic/Center | 666 Dundee Rd Ste 1800, Northbrook, IL 60062-2727 | 2020-07-14 |
| 1407474083 | Staten Family Practice Pllc | Clinic/Center | 500 W Virginia Ave, Gillespie, IL 62033-1025 | 2020-07-09 |
| 1629696679 | Serenity Internal Medicine & Wellness Center | Clinic/Center | 3330 W 177th St # 2d-1, Hazel Crest, IL 60429-2184 | 2020-07-07 |
| Find all providers with the same taxonomy | ||||
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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.