Provider Demographics
NPI:1972532653
Name:SIMPLYREHAB, LLC
Entity Type:Organization
Organization Name:SIMPLYREHAB, LLC
Other - Org Name:SIMPLYREHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LIBBY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROTH
Authorized Official - Suffix:
Authorized Official - Credentials:SLP
Authorized Official - Phone:847-562-0800
Mailing Address - Street 1:801 SKOKIE BLVD
Mailing Address - Street 2:SUITE 108
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-4039
Mailing Address - Country:US
Mailing Address - Phone:847-562-0800
Mailing Address - Fax:847-562-0070
Practice Address - Street 1:13820 UTICA AVE
Practice Address - Street 2:THERPAY CLINIC
Practice Address - City:ROBBINS
Practice Address - State:IL
Practice Address - Zip Code:60472-2157
Practice Address - Country:US
Practice Address - Phone:708-293-0411
Practice Address - Fax:708-293-0411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
Not Answered235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL146698Medicare ID - Type UnspecifiedOUTPATIENT THERAPY