MEDICARE: ACCELERATED REHABILIATION CENTERS LTD

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
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1023584661
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACCELERATED REHABILIATION 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	:	630-575-1980
Fax Number	:

Provider Business Practice Location Address
First Line	:	5265 E 82ND ST STE 200
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46250-1627
Country	:	US
Telephone Number	:	317-542-3723
Fax Number	:	317-999-9660

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

Provider Enumeration Date	:	10/22/2018
Last Update Date	:	10/22/2018

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