Individual provider Active NPI

Magdalena Maria Rebisz

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1275182545
Registry record updated Jun 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070024284 Issued in IL
Practice address
6354 W Gunnison St
Chicago, IL 60630-2954
Phone
(872) 350-2374
NPI assigned
Sep 9, 2019
Last updated
Jun 8, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2025

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 070024284 IL Primary

Addresses

Primary practice location

6354 W Gunnison St
Chicago, IL 60630-2954

Mailing address

6354 W Gunnison St
Chicago, IL 60630-2954
Phone (872) 350-2374

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250707003307 IL Practitioner - Physical Therapist in Private Practice 3971033424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

6354 W Gunnison St
Chicago, IL 60630-2954
Phone (872) 350-2374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070024284ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sublime Physical Therapy, PLLC Physical Therapist CurrentSince Jan 13, 2025 Accepting new patients

Locations

6354 W Gunnison St
Chicago, IL 60630
Phone (872) 350-2374

Organizations & group practices 1

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": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749340800000",
    "number": "1275182545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6354 W GUNNISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302954",
            "telephone_number": "872-350-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6354 W GUNNISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302954",
            "telephone_number": "872-350-2374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBISZ",
        "first_name": "MAGDALENA",
        "middle_name": "MARIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2025-06-08",
        "certification_date": "2025-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070024284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2025; 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.