Nevin Jai Runge

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

RBT-24-339067 Issued in IL

Practice address

309 Walnut St Ste B
St Charles, IL 60174-2766

Phone

(000) 000-0000

NPI assigned

May 11, 2022

Last updated

Apr 24, 2026By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Gulf Breeze Physical Therapy Inc.

  dba Select Physical Therapy

  • Physical Therapy Clinic/Center
  • Pensacola, FL
  • NPI 1730183153
  NPD (past)

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

{
    "created_epoch": "1652227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1275279291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 WILTSHIRE LN",
            "city": "VILLAGE OF LAKEWOOD",
            "state": "IL",
            "postal_code": "600145434",
            "telephone_number": "815-323-9045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 WALNUT ST STE B",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601742766",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1095 Pingree Rd Ste 209",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600141727",
            "country_code": "US",
            "telephone_number": "847-458-8890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUNGE",
        "first_name": "NEVIN",
        "middle_name": "JAI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-11",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "IL",
            "license": "RBT-24-339067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Route 64 Dental LLC
• Royalnova Healthcare
• Magdalena Rozycki, MSW
• Anna Linnea Rucinova, MA, ALMFT
• Anna Ruffalo, RBT
• Runyan Chiropractic LLC
• Kimbra Nicole Runyan
• Rush-Select Holdings, LLC. (Rush Kids Pediatric Therapy)
• Rush-Select Holdings, LLC. (Rush Kids Pediatric Therapy)
• Margarita Munoz Rusiana

• Behavior Technician in St Charles, IL
• Providers in St Charles, IL by specialty
• Behavior Technician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2026; 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.