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
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1811434269
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW CENTURY REHABILITATION, LLC

Provider Business Mailing Address
First Line	:	2001 BUTTERFIELD RD STE 1600
Second Line	:
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60515-1211
Country	:	US
Telephone Number	:	630-296-2222
Fax Number	:	630-759-9510

Provider Business Practice Location Address
First Line	:	7060 N DURANGO DR
Second Line	:	SUITE 130
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-4629
Country	:	US
Telephone Number	:	702-826-5749
Fax Number	:	702-273-3015

Authorized Official
Title or Position	:	VP OF COMPLIANCE
Name	:	WADE A MEYER
Credential	:
Telephone Number	:	630-296-2223

Provider Enumeration Date	:	01/24/2017
Last Update Date	:	04/15/2025

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