R3S LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

R3S LLC

Doing business as

Fyzical Therapy & Balance Center of Geneva

Practice address

2401 Kaneville Rd Ste 5
Geneva, IL 60134-2577

Phone

(608) 628-4612

NPI assigned

Sep 27, 2023

Last updated

Oct 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Runali Shah, PTNPI 1588151062

Title

Clinical Director

Phone

(608) 628-4612

Specialties & licenses 2

Addresses

Other names 1

• Fyzical Therapy & Balance Center of Geneva Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Runali Shah, PT

  • Physical Therapist
  • Geneva, IL
  • NPI 1588151062
  Medicare reassignment Care Compare group NPD Authorized official
• Priya Shah

  • Physical Therapist
  • Wheaton, IL
  • NPI 1891347241
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1275312274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 TACOMA DR",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601884743",
            "telephone_number": "608-628-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 KANEVILLE RD STE 5",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342577",
            "telephone_number": "608-628-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R3S LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-27",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "RUNALI",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "608-628-4612",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fyzical Therapy & Balance Center of Geneva",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fyzical Therapy & Balance Center of Geneva",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Provena Senior Services (Provena Geneva Care Center)
• Michelle Pytel, PTA
• Sharon Pytel, NP-C
• Elliot Quast, D.C.
• Faaria Quraishi
• Kurt W Raack, D.D.S.
• Bethany Rabanus, PT
• Radiology Subspecialists of Northern Illinois, LLC
• Avanthi Ragam, M.D.
• Paula Amat Rainey, LSW

• Physical Therapy Clinic/Center in Geneva, IL
• Providers in Geneva, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.