Active NPI
Robyn Ross Reichenberger, PTA
- Physical Therapy Assistant
- Warrenville, IL
National Provider Identifier
1407970502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 659
- Practice address
- Medical Staffing Network
4525 Weaver Parkway Suite 310
Warrenville, IL 60555 - Phone
- (180) 022-3923
- NPI assigned
- Mar 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 659 | ND | Primary |
Addresses
Primary practice location
Medical Staffing Network
4525 Weaver Parkway Suite 310
Warrenville, IL 60555
Mailing address
1333 Tuxedo Rd
Minot, ND 58703-1639
Phone (701) 720-4168
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 659 | ND | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407970502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1333 TUXEDO RD",
"city": "MINOT",
"state": "ND",
"postal_code": "587031639",
"telephone_number": "701-720-4168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEDICAL STAFFING NETWORK",
"address_2": "4525 WEAVER PARKWAY SUITE 310",
"city": "WARRENVILLE",
"state": "IL",
"postal_code": "60555",
"telephone_number": "180-022-3923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REICHENBERGER",
"first_name": "ROBYN",
"middle_name": "ROSS",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "ND",
"license": "659",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warrenville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.