Active NPI
Todd Riefenberg
- Occupational Therapist
- Naperville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056.010965
- Practice address
- 5503 Penncross Dr
Naperville, IL 60564-1644 - Phone
- (630) 803-4521
- NPI assigned
- Sep 6, 2022
- Last updated
- Sep 6, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056.010965 | IL | Primary |
Addresses
Primary practice location
5503 Penncross Dr
Naperville, IL 60564-1644
Mailing address
5503 Penncross Dr
Naperville, IL 60564-1644
Phone (630) 886-4935
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12446 S Van Dyke Rd
Plainfield, IL 60585-2700
Phone (815) 216-4042
1619 N Mill St
Naperville, IL 60563-2858
Phone (630) 778-3475
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 056.010965 | IL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reliant Senior Living LLC | Occupational Therapist | Current | Accepting new patients |
| Reliant Senior Living LLC | Occupational Therapist | Current | Accepting new patients |
| Paxxon Healthcare Services LLC | Occupational Therapist | Current | Accepting new patients |
| Paxxon Healthcare Services LLC | Occupational Therapist | Current | Accepting new patients |
Locations
1619 N Mill St
Naperville, IL 60563
Phone (630) 701-6040
5800 Granite Pkwy
Ste 325
Plano, TX 75024
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.
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- NPI 1336808146
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- NPI 1871457994
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662422400000",
"number": "1093436305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5503 PENNCROSS DR",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605641644",
"telephone_number": "630-886-4935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5503 PENNCROSS DR",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605641644",
"telephone_number": "630-803-4521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIEFENBERG",
"first_name": "TODD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-06",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056.010965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Naperville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.