Active NPI
Rebeca Fildes, MPT
- Orthopedic Physical Therapist
- Woodridge, IL
National Provider Identifier
1427307354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 070-019401
- Practice address
- 6325 Dean Dr
Woodridge, IL 60517-1231 - Phone
- (630) 649-0616
- NPI assigned
- Sep 6, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 070-019401 | IL | Primary |
| Specialist | 174400000X |
Addresses
Primary practice location
6325 Dean Dr
Woodridge, IL 60517-1231
Mailing address
6325 Dean Dr
Woodridge, IL 60517-1231
Phone (630) 649-0616
Other practice location 1
1513 DeKalb ave
Sycamore, IL 60178-2703
Phone (815) 758-0000
Other practice location 2
1310 N Main St Ste 100
Sandwich, IL 60548-1394
Phone (815) 786-6000
Other names 1
- Rebeca Manjarres
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-019401 | IL | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615852800000",
"number": "1427307354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6325 DEAN DR",
"city": "WOODRIDGE",
"state": "IL",
"postal_code": "605171231",
"telephone_number": "630-649-0616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6325 DEAN DR",
"city": "WOODRIDGE",
"state": "IL",
"postal_code": "605171231",
"telephone_number": "630-649-0616"
}
],
"practiceLocations": [
{
"address_1": "1513 DeKalb ave",
"address_purpose": "LOCATION",
"city": "Sycamore",
"state": "IL",
"postal_code": "601782703",
"country_code": "US",
"telephone_number": "815-758-0000",
"fax_number": "815-991-9484",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1310 N Main St Ste 100",
"address_purpose": "LOCATION",
"city": "Sandwich",
"state": "IL",
"postal_code": "605481394",
"country_code": "US",
"telephone_number": "815-786-6000",
"fax_number": "815-786-3603",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FILDES",
"first_name": "REBECA",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-09-06",
"last_updated": "2021-03-16",
"certification_date": "2021-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "IL",
"license": "070-019401",
"primary": true
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECA",
"last_name": "MANJARRES",
"credential": "MPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Woodridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.