Jene Fer Tabaco

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.022890 Issued in IL

Practice address

104 Woodland Court 3B
Carpentersville, IL 60110

Phone

(224) 258-5116

NPI assigned

Jan 8, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Rehab Maxx LLC

  • Physical Therapist
  • Arlington Heights, IL
  • NPI 1861711855
  Medicare reassignment NPD

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1104466168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WOODLAND COURT 3B",
            "city": "CARPENTERSVILLE",
            "state": "IL",
            "postal_code": "60110",
            "telephone_number": "224-258-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 WOODLAND COURT 3B",
            "city": "CARPENTERSVILLE",
            "state": "IL",
            "postal_code": "60110",
            "telephone_number": "224-258-5116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABACO",
        "first_name": "JENE FER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.022890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amit Srivastava, PHARMD
• Tamara St. John, D.C.
• Victoria Celestine Strickland
• Anna Sulikowski
• Sylwia Szypula, PHARMD
• Christopher J Tabor, D.D.S.
• Jasmine Tanada
• Thida Maw MD PC
• Lavaesia Leanne Thompson
• Total Renal Care Inc

• Physical Therapist in Carpentersville, IL
• Providers in Carpentersville, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.