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NPI Code Detail

MEDICARE: SIMPLYREHAB, LLC

MEDICARE: SIMPLYREHAB, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist00448397IL
2235Z00000XSpeech-Language Pathologist00448397IL
3225100000XPhysical Therapist00448397IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1146698OTHERMEDICARE PROVIDER NUMBER

General Provider Information

NPI Number : 1003004599
Entity Type Code : Organization
Provider Name (Legal Business Name) : SIMPLYREHAB, LLC
Provider Business Mailing Address
First Line : 3330 DUNDEE RD
Second Line : SUITE C-1
City : NORTHBROOK
State : IL
Zip : 60062-2318
Country : US
Telephone Number : 847-562-0800
Fax Number :
Provider Business Practice Location Address
First Line : 12975 SHERIDAN BLVD
Second Line :
City : BROOMFIELD
State : CO
Zip : 80020-1477
Country : US
Telephone Number : 303-785-5800
Fax Number : 303-785-5837
Authorized Official
Title or Position : PRESIDENT
Name : LIBBY ROTH
Credential :
Telephone Number : 847-562-0800
Provider Enumeration Date : 10/09/2007
Last Update Date : 10/09/2007

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Directions to “SIMPLYREHAB, LLC ” Practice Location

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