NPIMap

Organization Active NPI

Rezin Orthopedic and Sports Medicine, SC

Doing business as Vital Care Physical Therapy

  • Durable Medical Equipment & Medical Supplies
  • Joliet, IL
National Provider Identifier
1124533039
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
042007183 Issued in IL
Legal business name
REZIN ORTHOPEDIC AND SPORTS MEDICINE, SC
Doing business as
Vital Care Physical Therapy
Practice address
1312 Houbolt Rd
Joliet, IL 60431-9215
Phone
(815) 553-2860
Fax
(815) 725-8520
NPI assigned
Dec 14, 2017
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
REZIN ORTHOPEDICS AND SPORTS MEDICINE, S.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Michael Topielec
Title
Administrator
Phone
(815) 942-4875

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 042007183 IL
Physical Therapist 225100000X 042007183 IL
Occupational Therapist 225X00000X 042007183 IL
Durable Medical Equipment & Medical Supplies 332B00000X 042007183 IL Primary

Addresses

Primary practice location

1312 Houbolt Rd
Joliet, IL 60431-9215

Mailing address

1051 W US Route 6 Ste 100
Morris, IL 60450-3370
Phone (815) 942-4875

Other names 1

  • Vital Care Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rezin Orthopedic Center16 organizations share this tax ID, including this one
Part of
Rezin Orthopedic Center

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1513209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1124533039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 W US ROUTE 6 STE 100",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604503370",
            "telephone_number": "815-942-4875",
            "fax_number": "815-942-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 HOUBOLT RD",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604319215",
            "telephone_number": "815-553-2860",
            "fax_number": "815-725-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REZIN ORTHOPEDIC AND SPORTS MEDICINE, SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REZIN ORTHOPEDICS AND SPORTS MEDICINE, S.C.",
        "enumeration_date": "2017-12-14",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "TOPIELEC",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "815-942-4875"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IL",
            "license": "042007183",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "042007183",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "042007183",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "042007183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Care Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.