Provider Demographics
NPI:1013240985
Name:ADAPT REHAB, LLC
Entity Type:Organization
Organization Name:ADAPT REHAB, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DRIESSENS
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:630-768-5873
Mailing Address - Street 1:628 COLUMBUS ST
Mailing Address - Street 2:SUITE 406
Mailing Address - City:OTTAWA
Mailing Address - State:IL
Mailing Address - Zip Code:61350-2933
Mailing Address - Country:US
Mailing Address - Phone:630-768-5873
Mailing Address - Fax:630-499-7875
Practice Address - Street 1:901 ESSINGTON RD
Practice Address - Street 2:SUITE 241
Practice Address - City:JOLIET
Practice Address - State:IL
Practice Address - Zip Code:60435-8403
Practice Address - Country:US
Practice Address - Phone:630-768-5873
Practice Address - Fax:630-499-7875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-10
Last Update Date:2009-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation