Active NPI
Michael D Reuland, DPT
- Physical Therapist
- Dekalb, IL
National Provider Identifier
1013400993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT35527
- Practice address
- 400 E Hillcrest Dr Ste 110
Dekalb, IL 60115-2470 - Phone
- (815) 758-5508
- Fax
- (815) 758-5537
- NPI assigned
- Jun 14, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 070.023654 | IL | |
| Physical Therapist | 225100000X | PT35527 | FL | Primary |
Addresses
Primary practice location
400 E Hillcrest Dr Ste 110
Dekalb, IL 60115-2470
Mailing address
400 E Hillcrest Dr Ste 110
Dekalb, IL 60115-2470
Phone (815) 758-5508
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 |
|---|---|---|---|
| 070.023654 | IL | MD | Physical Medicine & Rehabilitation Physician |
| PT35527 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611273600000",
"number": "1013400993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 E HILLCREST DR STE 110",
"city": "DEKALB",
"state": "IL",
"postal_code": "601152470",
"telephone_number": "815-758-5508",
"fax_number": "815-758-5537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 E HILLCREST DR STE 110",
"city": "DEKALB",
"state": "IL",
"postal_code": "601152470",
"telephone_number": "815-758-5508",
"fax_number": "815-758-5537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REULAND",
"first_name": "MICHAEL",
"middle_name": "D",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-14",
"last_updated": "2021-01-22",
"certification_date": "2021-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "IL",
"license": "070.023654",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT35527",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dekalb, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.