Individual provider Active NPI

Efrat Rebish

  • Physical Therapist
  • Buffalo Grove, IL
National Provider Identifier
1184770802
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
399 Indian Hill Dr
Buffalo Grove, IL 60089-1922
Phone
(847) 630-2541
NPI assigned
Jan 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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 Primary

Addresses

Primary practice location

399 Indian Hill Dr
Buffalo Grove, IL 60089-1922

Mailing address

399 Indian Hill Dr
Buffalo Grove, IL 60089-1922

Other identifiers 1

IdentifierTypeStateIssuer
070014350OtherILLICENSE#

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060104000803 IL Practitioner - Physical Therapist in Private Practice 0143243212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1535 Lake Cook Rd
Suite 412
Northbrook, IL 60062-1453
Phone (847) 630-2541

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Era Physical Therapy Inc Physical Therapist CurrentSince Jun 1, 2014 Accepting new patients
North Glen Physical Medicine Past Accepting new patients
Consultants in Neurology, LTD PastSince Nov 7, 2014 Accepting new patients

Locations

1535 Lake Cook Rd
Ste 412
Northbrook, IL 60062
Phone (312) 340-6677

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390262400000",
    "number": "1184770802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 INDIAN HILL DR",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 INDIAN HILL DR",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891922",
            "telephone_number": "847-630-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBISH",
        "first_name": "EFRAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-26",
        "last_updated": "2014-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE#",
            "identifier": "070014350",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; 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.