Active NPI
Bethany Rabanus, PT
- Physical Therapy Clinic/Center
- Geneva, IL
National Provider Identifier
1013214741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 070011683
- Practice address
- 780 Fox Run Dr
Geneva, IL 60134-2866 - Phone
- (630) 536-6376
- Fax
- (813) 342-8683
- NPI assigned
- Feb 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 070011683 | IL | Primary |
Addresses
Primary practice location
780 Fox Run Dr
Geneva, IL 60134-2866
Mailing address
780 Fox Run Dr
Geneva, IL 60134-2866
Phone (630) 536-6376
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070011683 | IL | MD | Physical Therapy Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415232000000",
"number": "1013214741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "780 FOX RUN DR",
"city": "GENEVA",
"state": "IL",
"postal_code": "601342866",
"telephone_number": "630-536-6376",
"fax_number": "813-342-8683"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "780 FOX RUN DR",
"city": "GENEVA",
"state": "IL",
"postal_code": "601342866",
"telephone_number": "630-536-6376",
"fax_number": "813-342-8683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RABANUS",
"first_name": "BETHANY",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-15",
"last_updated": "2014-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "IL",
"license": "070011683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Geneva, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.