PRACTICAL REHAB SERVICES LTD. NPI 1770565491

NPI Information

NPI: 1770565491
Provider Name: PRACTICAL REHAB SERVICES, LTD.
Classification: Clinic/Center - 261QR0400X
Entity Type: Organization

Specialization: Rehabilitation

Address:
3550 COLLEGE AVE
SUITE A
ALTON, IL
ZIP 62002
Phone: (618) 465-6566
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PRACTICAL REHAB SERVICES, LTD. is a rehabilitation clinic center in Alton, IL. PRACTICAL REHAB SERVICES, LTD. NPI is 1770565491. The provider is registered as an organization entity type.

The provider's business location address is:

3550 COLLEGE AVE
SUITE A
ALTON, IL
ZIP 62002-008
Phone: (618) 465-6566
Fax: (618) 465-6573

The provider's authorized official is Sharon K Johnson .
The authorized official title is President and has the following contact phone number (618) 465-6566.

The enumeration date for this NPI number is 11/17/2005 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0400X	Clinic/Center	Rehabilitation			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	348589310001	MEDICAID	ILLINOIS
2	327366709001	MEDICAID	ILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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