Jean Michelle Reiss, DT

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

608 Stearn Dr
Genoa, IL 60135-1456

Phone

(847) 712-2049

NPI assigned

Aug 27, 2010

Last updated

Aug 27, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jean Fuller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282867200000",
    "number": "1477869535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 STEARN DR",
            "city": "GENOA",
            "state": "IL",
            "postal_code": "601351456",
            "telephone_number": "847-712-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 STEARN DR",
            "city": "GENOA",
            "state": "IL",
            "postal_code": "601351456",
            "telephone_number": "847-712-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISS",
        "first_name": "JEAN",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "DT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-27",
        "last_updated": "2010-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN",
            "last_name": "FULLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Angela Moore
• Natural Family Health S.C.
• Northern Rehabilitation and Sports Medicine Associates
• Patricia Maria Pasillas Cardenas
• Sherie Anne Perdue, D.D.S.
• Nan Elaine Ryan
• Shree Verai Aa Medventure Inc (Genoa Family Pharmacy)
• Bethany L Skowronski
• Steven J. Disanti D.O. S.C. (D/B/A Genoa Medical Clinic)
• Jorge Mauricio Trejo, PTA

• Developmental Therapist in Genoa, IL
• Providers in Genoa, IL by specialty
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2010; 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.