NPIMap

Organization Active NPI

Rezin Orthopedic & Sports Medicine, SC

Doing business as Vital Care Physical Therapy

  • Durable Medical Equipment & Medical Supplies
  • Yorkville, IL
National Provider Identifier
1245379833
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
REZIN ORTHOPEDIC & SPORTS MEDICINE, SC
Doing business as
Vital Care Physical Therapy
Practice address
106 E Countryside Pkwy
Yorkville, IL 60560-1815
Phone
(630) 553-8979
Fax
(630) 553-3983
NPI assigned
Feb 6, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Eric Anderson
Title
Administrator
Phone
(815) 942-4875

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X IL Primary

Addresses

Primary practice location

106 E Countryside Pkwy
Yorkville, IL 60560-1815

Mailing address

1051 W US Route 6
Suite 100
Morris, IL 60450-3349
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

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": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245379833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 W US ROUTE 6",
            "address_2": "SUITE 100",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604503349",
            "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": "106 E COUNTRYSIDE PKWY",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605601815",
            "telephone_number": "630-553-8979",
            "fax_number": "630-553-3983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REZIN ORTHOPEDIC & SPORTS MEDICINE, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "815-942-4875",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Care Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yorkville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.