Individual provider Active NPI

Peter Rechenberg, PT, DPT

  • Physical Therapist
  • Rosemont, IL
National Provider Identifier
1083154348
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.023499 Issued in IL
Practice address
6300 N River Rd Ste 100a
Rosemont, IL 60018-4206
Phone
(312) 421-1016
Fax
(847) 787-7144
NPI assigned
Mar 6, 2017
Last updated
Jan 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.023499 IL Primary

Addresses

Primary practice location

6300 N River Rd Ste 100a
Rosemont, IL 60018-4206

Mailing address

6300 N River Rd Ste 100a
Rosemont, IL 60018-4206
Phone (312) 421-1016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180320000092 IL Practitioner - Physical Therapist in Private Practice 3072875673 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

2595 Harnish Dr
Algonquin, IL 60102-6874
Phone (847) 717-7644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.023499ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Marathon Health, LLC CurrentSince Feb 1, 2022 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Jan 30, 2026 Accepting new patients
Legacy Healthcare Services Inc Physical Therapist CurrentSince Jan 30, 2026 Accepting new patients
Marathon Health, LLC CurrentSince Feb 1, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: peter.rechenberg.1@14940.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1488758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1083154348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 N RIVER RD STE 100A",
            "city": "ROSEMONT",
            "state": "IL",
            "postal_code": "600184206",
            "telephone_number": "312-421-1016",
            "fax_number": "847-787-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 N RIVER RD STE 100A",
            "city": "ROSEMONT",
            "state": "IL",
            "postal_code": "600184206",
            "telephone_number": "312-421-1016",
            "fax_number": "847-787-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RECHENBERG",
        "first_name": "PETER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-06",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.023499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rosemont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.