MEDICARE: ACCELERATED REHABILITATION CENTERS, LTD

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	225100000X	Physical Therapist
2	225X00000X	Occupational Therapist
3	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1063066710
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCELERATED REHABILITATION CENTERS, LTD

Provider Business Mailing Address
First Line	:	600 OAKMONT LN STE 600C
Second Line	:
City	:	WESTMONT
State	:	IL
Zip	:	60559-5548
Country	:	US
Telephone Number	:	630-575-6250
Fax Number	:	630-575-7450

Provider Business Practice Location Address
First Line	:	1537 S COURT ST
Second Line	:
City	:	CIRCLEVILLE
State	:	OH
Zip	:	43113-1087
Country	:	US
Telephone Number	:	740-273-0015
Fax Number	:	740-218-1812

Authorized Official
Title or Position	:	CREDENTIALING MANAGER
Name	:	JUANA GRANADOS
Credential	:
Telephone Number	:	630-575-1980

Provider Enumeration Date	:	07/31/2019
Last Update Date	:	07/31/2019

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