MEDICARE: REHABILITATION PROFESSIONALS, INC.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	225X00000X	Occupational Therapist
2	235Z00000X	Speech-Language Pathologist
3	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1891045068
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REHABILITATION PROFESSIONALS, INC.

Provider Business Mailing Address
First Line	:	1034 S BRENTWOOD BLVD
Second Line	:	SUITE 300
City	:	RICHMOND HEIGHTS
State	:	MO
Zip	:	63117-1203
Country	:	US
Telephone Number	:	314-644-1978
Fax Number	:	314-647-1350

Provider Business Practice Location Address
First Line	:	6840 N SACRAMENTO AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60645-2740
Country	:	US
Telephone Number	:	773-465-6700
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	MR. JONATHAN GORDON
Credential	:	PT
Telephone Number	:	314-644-1978

Provider Enumeration Date	:	09/14/2012
Last Update Date	:	09/14/2012

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