OrganizationActive
Diversified Rehab Services, LLC
NPI 1760420327 · Physical Therapy Clinic/Center · Mounds, IL
Provider details
- NPI number
- 1760420327
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Benjamin Rice, Owner(618) 534-9678
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
429 S Blanche St
Suite 210
Mounds, IL 62964-1107
Phone: (618) 745-9419
Fax: (618) 745-9421
Street-level locationGet directions
Mailing address
101 Park Cir
Benton, IL 62812-3464
Registry dates
- Enumerated
- 2006-06-03
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.