Individual provider Active NPI

Todd Riefenberg

  • Occupational Therapist
  • Naperville, IL
National Provider Identifier
1093436305
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
056.010965 Issued in IL
Practice address
5503 Penncross Dr
Naperville, IL 60564-1644
Phone
(630) 803-4521
NPI assigned
Sep 6, 2022
Last updated
Sep 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20221012001215 IL Practitioner - Occupational Therapist in Private Practice 7517333867 Reassigns benefits to 2 organizations

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
Reliant Senior Living LLCGroup PAC ID 0446754451, 117 clinicians
Paxxon Healthcare Services LLCGroup PAC ID 8325959554, 153 clinicians

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

LicenseStateTypeSpecialty
056.010965ILMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Reliant Senior Living LLC Occupational Therapist CurrentSince Sep 2, 2025 Accepting new patients
Reliant Senior Living LLC Occupational Therapist CurrentSince Sep 2, 2025 Accepting new patients
Paxxon Healthcare Services LLC Occupational Therapist CurrentSince Sep 7, 2022 Accepting new patients
Paxxon Healthcare Services LLC Occupational Therapist CurrentSince Sep 7, 2022 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.

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.

Verify at the official NPI Registry.