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NPI Code Detail

MEDICARE: NEW CENTURY REHABILITATION, LLC

MEDICARE: NEW CENTURY REHABILITATION, 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
1225100000XPhysical Therapist

General Provider Information

NPI Number : 1366997256
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW CENTURY REHABILITATION, LLC
Provider Business Mailing Address
First Line : 790 REMINGTON BLVD
Second Line :
City : BOLINGBROOK
State : IL
Zip : 60440-4909
Country : US
Telephone Number : 630-296-2222
Fax Number :
Provider Business Practice Location Address
First Line : 1525 E WINDMILL LN
Second Line : SUITE 202
City : LAS VEGAS
State : NV
Zip : 89123-1902
Country : US
Telephone Number : 702-202-1280
Fax Number :
Authorized Official
Title or Position : VP OF COMPLIANCE
Name : WADE A MEYER
Credential :
Telephone Number : 630-296-2223
Provider Enumeration Date : 08/20/2016
Last Update Date : 04/15/2025

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Directions to “NEW CENTURY REHABILITATION, LLC ” Practice Location

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