BLOOMINGTON REHABILITATION ASSOCIATES, LLC
NPI 1619994431
Physical Medicine & Rehabilitation in Bloomington, IL

NPI Status: Active since July 16, 2006

Contact Information

1015 S MERCER AVE
BLOOMINGTON, IL
ZIP 61701
Phone: (309) 662-7500
Fax: (309) 662-7333

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  • Organization
  • Physical Medicine & Rehabilitation

About BLOOMINGTON REHABILITATION ASSOCIATES, LLC

Bloomington Rehabilitation Associates, Llc is a provider established in Bloomington, Illinois operating as a Physical Medicine & Rehabilitation. The healthcare provider is registered in the NPI registry with number 1619994431 assigned on July 2006. The practitioner's primary taxonomy code is 208100000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mr. David R Jones Cpa (Cfo)

NPI
1619994431
Provider Name
BLOOMINGTON REHABILITATION ASSOCIATES, LLC
Entity Type
Organization
Location Address
1015 S MERCER AVE BLOOMINGTON, IL 61701
Location Phone
(309) 662-7500
Location Fax
(309) 662-7333
Mailing Address
1015 S MERCER AVE BLOOMINGTON, IL 61701
Mailing Phone
(309) 662-7500
Mailing Fax
(309) 662-7333
Is Sole Proprietor?
N/A
Is Organization Subpart?
No
Enumeration Date
07-16-2006
Last Update Date
08-15-2007
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Medicine & Rehabilitation

Taxonomy Code
208100000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medicare

  • Medicaid


*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. DAVID R JONES CPA

Authorized Official Title
CFO
Authorized Official Phone
(309) 662-7500

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
211667MEDICARE ID-TYPE UNSPECIFIED (04) 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1619994431
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2629189846
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 2 + 9 + 1 + 8 + 9 + 8 + 4 + 6 + 24 = 79
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 79 = 11

The NPI number 1619994431 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1215924410DR. RAMSIN BENYAMIN MD, DABPM, FIPP
Individual
Pain Medicine (Interventional Pain Medicine)1015 S MERCER AVE
BLOOMINGTON, IL 61701
(309) 662-4321
1558347310DR. JI LI MD
Individual
Anesthesiology (Pain Medicine)1015 S MERCER AVE
BLOOMINGTON, IL 61701
(309) 662-0088
1467438226MR. JIONG GU ACUPUNCTURIST
Individual
Acupuncturist1015 S MERCER AVE
BLOOMINGTON, IL 61701
(309) 662-0088
1144209131 CATHERINE L BALLARD RN
Individual
Registered Nurse1015 S MERCER AVE
BLOOMINGTON, IL 61701
(309) 662-0088
1639105034DR. NENITA C TUDTUD M.D.
Individual
Physical Medicine & Rehabilitation1015 S MERCER AVE
BLOOMINGTON, IL 61701
(309) 662-7500
1457381063DR. KEITH A KATTNER D.O.
Individual
Neurological Surgery1015 S MERCER AVE
BLOOMINGTON, IL 61701
(309) 662-7500
1649203886CENTRAL ILLINOIS NEURO HEALTH SCIENCES, LTD..
Organization
Neurological Surgery1015 S MERCER AVE
BLOOMINGTON, IL 61701
(309) 662-7500
1366475501DIAGNOSTIC NEURO TECHNOLOGY, LLC
Organization
Radiologic Technologist1015 S MERCER AVE
BLOOMINGTON, IL 61701
(309) 662-7500
1447270368 SETH R. HATLELID PSY.D.
Individual
Psychologist (Clinical)1015 S MERCER AVE
BLOOMINGTON, IL 61701
(309) 706-9532
1053533034MS. RACHEL A GAWTHORP RN
Individual
Registered Nurse1015 S MERCER AVE
BLOOMINGTON, IL 61701
(309) 662-0088
1710199948DR. PAUL D WILLETT PH.D.
Individual
Psychologist (Clinical)1015 S MERCER AVE
BLOOMINGTON, IL 61701
(309) 706-3190
1275729659NEUROLOGY SOLUTIONS
Organization
Clinic/Center (Health Service)1015 S MERCER AVE
BLOOMINGTON, IL 61701
(309) 661-4325
1831360239MIDWEST NEUROMONITORING, INC.
Organization
Physiological Laboratory1015 S MERCER AVE
BLOOMINGTON, IL 61701
(309) 820-7982
1043504764 DONNY BOUNDS RN
Individual
Registered Nurse1015 S MERCER AVE
BLOOMINGTON, IL 61701
(309) 662-4321
1336319094DR. AMARESH VYDYANATHAN MD, MS
Individual
Pain Medicine (Interventional Pain Medicine)1015 S MERCER AVE
BLOOMINGTON, IL 61701
(309) 662-4321
1659650455MRS. STEPHANIE ANNE BUTLER FNP-BC
Individual
Nurse Practitioner (Family)1015 S MERCER AVE
BLOOMINGTON, IL 61701
(309) 662-4321
1639565971CHAMPION FITNESS, INC
Organization
Clinic/Center (Physical Therapy)1015 S MERCER AVE
BLOOMINGTON, IL 61701
(309) 663-6777
1487164869VITALREHAB PHYSICAL THERAPY, LLC
Organization
Clinic/Center (Physical Therapy)1015 S MERCER AVE
BLOOMINGTON, IL 61701
(309) 310-9610
1669469706DR. RICARDO VALLEJO MD
Individual
Anesthesiology (Pain Medicine)1015 S MERCER AVE
BLOOMINGTON, IL 61701
(309) 662-4321
1538195920DR. EMILIO M NARDONE M.D.
Individual
Neurological Surgery1015 S MERCER AVE
BLOOMINGTON, IL 61701
(309) 662-7500

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619994431, enumerated in the NPI registry as an "organization" on July 16, 2006

The provider is located at 1015 S Mercer Ave Bloomington, Il 61701 and the phone number is (309) 662-7500

This medical organization specializes in Physical Medicine & Rehabilitation with taxonomy code 208100000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on July 16, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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