PEDIATRIC ADULT REHABILITATION ASSOCIATES (NPI# 1710965918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710965918 |
Entity Type | Organization |
Organization Name | PEDIATRIC ADULT REHABILITATION ASSOCIATES |
Other Organization Name | PARA'S PEACH TREE |
Practice Address |
350 Houbolt Rd Suite 101 Joliet IL 60431-8305 |
Practice Telephone | 8157259992 |
Practice Fax Number | 8157259993 |
Mailing Telephone | 8157259992 |
Mailing Fax Number | 8157259993 |
Enumeration Date | 2006-01-06 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MRS. SHAUNA J RUZICH (PRESIDENT/CLINICAL MANAGER) |
Authorized Official Telephone | 8157259992 |
Authorized Official Credential | MS CCC-SLP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 174400000X | Specialist | Other Service Providers | ||
X | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
X | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
X | 235Z00000X | Speech-Language Pathologist | 22003708A | IN | Speech, Language and Hearing Service Providers |
X | 225X00000X | Occupational Therapist | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | |
X | 2355S0801X |
Specialist/Technologist Specialization: Speech-Language Assistant |
IL | Speech, Language and Hearing Service Providers | |
X | 235Z00000X | Speech-Language Pathologist | IL | Speech, Language and Hearing Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 405254137001 | 05 |
Other Name | Type Code |
---|---|
PARA's Peach Tree | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659525301 | Pediatric Adult Rehabilitation Associates | Speech-Language Pathologist | 2423 Glenwood Ave, Joliet, IL 60435-5483 | 2008-11-07 |
Street Address |
350 HOUBOLT RD SUITE 101 |
City | JOLIET |
State | IL |
Zip Code | 60431-8305 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518210673 | Andersontiernan, Inc | Non-Pharmacy Dispensing Site | 350 Houbolt Rd, Suite 104, Joliet, IL 60431-8305 | 2012-10-25 |
1043504657 | Amy Ray, Ph.d., P.C. | Psychologist | 350 Houbolt Rd, Suite 202, Joliet, IL 60431-8305 | 2011-06-01 |
1730354382 | Breck Tiernan PC | Podiatrist | 350 Houbolt Rd, Suite 104, Joliet, IL 60431-8305 | 2008-04-24 |
1083820930 | Laura Marie Bauer | Speech-Language Pathologist | 350 Houbolt Rd, Joliet, IL 60431-8305 | 2007-05-15 |
1861614380 | Breck Michael Tiernan | Podiatrist | 350 Houbolt Rd, Suite 104, Joliet, IL 60431-8305 | 2007-05-03 |
1659495034 | Corinne Ann Puriski | Speech-Language Pathologist | 350 Houbolt Rd, Suite 101, Joliet, IL 60431-8305 | 2007-03-19 |
1700913845 | Lorelle Jean Pop | Occupational Therapist | 350 Houbolt Rd, Joliet, IL 60431-8305 | 2007-02-27 |
1104951854 | Phyllis Marie Mcsweeney | Speech-Language Pathologist | 350 Houbolt Rd, Joliet, IL 60431-8305 | 2007-02-22 |
1023153764 | Diane Marie Barnes-maguire | Speech-Language Pathologist | 350 Houbolt Rd, Joliet, IL 60431-8305 | 2007-02-20 |
1689718074 | Erin Marie Laskowski | Speech-Language Pathologist | 350 Houbolt Rd, Joliet, IL 60431-8305 | 2007-02-18 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588173413 | Margaret Ann Silvas | Nurse's Aide | 3627 Woodside Ct, Joliet, IL 60431 | 2017-09-22 |
1174900757 | Melissa Suzanne Spoula | Optometrist | 3340 Mall Loop Dr Spc 1442, Joliet, IL 60431 | 2015-05-02 |
1154678373 | Melissa J Murphy | Physical Therapist | 852 A Sharp Drive, Provena Therapy and Industrial Rehabilitation Center, Shorewood, IL 60431 | 2012-08-07 |
1053540096 | Sarah M Patnoudes | Occupational Therapist | 1035 Heron Circle, Joliet, IL 60431 | 2009-07-13 |
1558598649 | Regi Nair | Pharmacy Technician | 1901 Appleman, Joliet, IL 60431 | 2009-06-16 |
1346483948 | John A. Propati, Inc. | Clinic/Center | 1401 Illinois Rt. 59, Shorewood, IL 60431 | 2009-04-13 |
1467622910 | Cornerstone Home Healthcare LLC | Home Health | 350 Houbolt Rd., Suite 209, Joliet, IL 60431 | 2008-03-11 |
1780898098 | Annie Bishop | Home Health Aide | 3806 Brenton Dr, Joliet, IL 60431 | 2007-05-09 |
1760601272 | James John Babiuk | Dentist | 3209 Fiday Rd, Joliet, IL 60431 | 2007-04-24 |
1689731481 | Smile Street Dental | Dentist | 3587 Hennepin Dr, Joliet, IL 60431 | 2007-01-02 |
Find all providers in zip 60431 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306223649 | Deborah Faynik | Specialist | 1004 Buell Ave, Joliet, IL 60435-6940 | 2015-05-06 |
1740693043 | Kara Lyn King | Specialist | 101 Hempstead Pl, Joliet, IL 60433-1745 | 2014-06-04 |
1023377801 | George E Dephillips Md Sc | Specialist | 903 N 129th Infantry Dr Ste 200, Joliet, IL 60435-5002 | 2012-05-14 |
1235461096 | Kidney Care Center of Northern Illinois, LLC | Specialist | 95 N 129th Infantry Dr, Joliet, IL 60435-5134 | 2010-02-04 |
1245419464 | Kim Katherine Bradley | Specialist | 8211 Trumbull Ave, Joliet, IL 60431-4532 | 2007-10-25 |
1962604983 | Will County Ob Gyn Ltd | Specialist | 1114 N Larkin Ave, Joliet, IL 60435-3435 | 2007-06-01 |
1922158617 | Deborah M Freeman | Specialist | 30 Uno Cir, Joliet, IL 60435-6632 | 2007-01-12 |
1306904131 | Russell I Khater | Specialist | 1106 N Larkin Ave, Lower Level, Joliet, IL 60435-3455 | 2006-12-05 |
1801964473 | Pain Centers of Chicago LLC | Specialist | 301 North Madison Street, Suite 306, Joliet, IL 60435 | 2006-12-01 |
1417067596 | Innerpeace Natural Healthcare | Specialist | 1002 Infantry Drive, #e, Joliet, IL 60435-3010 | 2006-08-30 |
Find all providers in JOLIET |
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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.