CRYSTAL LAKE MEDICAL AND SPORTS REHAB SC
NPI 1912088683
Chiropractor - Sports Physician in Crystal Lake, IL

Active since October 18, 2006
330 W TERRA COTTA AVE, CRYSTAL LAKE, IL 60014(815) 455-1751(815) 455-9450 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Crystal Lake Medical And Sports Rehab Sc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CRYSTAL LAKE MEDICAL AND SPORTS REHAB SC (NPI 1912088683) is a healthcare organization registered as a sports physician in Crystal Lake, Illinois and active in the NPI registry since October 2006. The organization lists Rodney Vaughn Gabbert, Owner, as its authorized official.

NPPES Registry Identity

NPI1912088683
Entity TypeOrganization
Primary Taxonomy111NS0005X
Legal Business NameCRYSTAL LAKE MEDICAL AND SPORTS REHAB SC
Location Address330 W TERRA COTTA AVECrystal Lake, IL 60014-3552
Mailing Address330 W Terra Cotta AveCrystal Lake, IL 60014-3552 · (815) 455-1751 · Fax (815) 455-9450
Fax(815) 455-9450
Organization SubpartNo
Authorized OfficialRodney Vaughn GabbertOwner · (815) 455-1751
Enumeration DateOctober 18, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1912088683 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractor · Sports PhysicianChiropractic Providers
Taxonomy Code111NS0005X
Definition
A sports chiropractor is uniquely trained to provide care and treatment of injuries or illness resulting from sports and physical fitness activities. Doctors of Chiropractic with the Diplomate American Chiropractic Board of Sports Physicians (DACBSP) or the Certified Chiropractic Sports Physician (CCSP), sport specialty certifications from the American Chiropractic Board of Sports Physicians, have advanced training in the assessment, management and rehabilitation of sports related injuries. Extremity care, rehabilitation and soft tissue procedures are common skills utilized by these doctors. The specialty training covers a broad spectrum from the pediatric athlete to professional and Olympic athletes, and everything in between, using a variety of techniques and modalities.
330 W TERRA COTTA AVE, Crystal Lake, IL 60014

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Massage Therapist
330 W TERRA COTTA AVE
CRYSTAL LAKE, IL 60014
Massage Therapist
330 W TERRA COTTA AVE
CRYSTAL LAKE, IL 60014
Chiropractor (Sports Physician)
330 W TERRA COTTA AVE
CRYSTAL LAKE, IL 60014
Marriage & Family Therapist
330 W TERRA COTTA AVE
CRYSTAL LAKE, IL 60014
Durable Medical Equipment & Medical Supplies
330 W TERRA COTTA AVE
CRYSTAL LAKE, IL 60014

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crystal Lake Medical And Sports Rehab Sc's NPI number?

The NPI number for Crystal Lake Medical And Sports Rehab Sc is 1912088683. It was assigned to this organization in the NPPES registry on October 18, 2006.

Where is Crystal Lake Medical And Sports Rehab Sc located?

Crystal Lake Medical And Sports Rehab Sc is located at 330 W Terra Cotta Ave, Crystal Lake, IL 60014. The listed phone number is (815) 455-1751.

What is Crystal Lake Medical And Sports Rehab Sc's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.

When was this NPI record last updated?

The NPPES record for Crystal Lake Medical And Sports Rehab Sc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.