Active NPI
Mobilitywise LLC
- Physical Therapist
- New Buffalo, MI
National Provider Identifier
1497453427
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- MOBILITYWISE LLC
- Practice address
- 19349 Highland Dr
New Buffalo, MI 49117-8942 - Phone
- (773) 823-6306
- NPI assigned
- Feb 20, 2023
- Last updated
- Jan 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rebecca Lynn Gardner-Reilly, PT
- Title
- PT
- Phone
- (773) 824-6306
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
19349 Highland Dr
New Buffalo, MI 49117-8942
Mailing address
19349 Highland Dr
New Buffalo, MI 49117-8942
Phone (773) 824-6306
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, IN
Enrollment records 2
National Provider Directory
National Provider DirectoryLocations
200 Heisman Harbor Rd
#441
Michigan City, IN 46360
Phone (773) 824-6306
Practitioners & affiliated clinicians
Practitioners 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676851200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704412800000",
"number": "1497453427",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19349 HIGHLAND DR",
"city": "NEW BUFFALO",
"state": "MI",
"postal_code": "491178942",
"telephone_number": "773-824-6306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19349 HIGHLAND DR",
"city": "NEW BUFFALO",
"state": "MI",
"postal_code": "491178942",
"telephone_number": "773-823-6306"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBILITYWISE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-20",
"last_updated": "2024-01-05",
"certification_date": "2024-01-05",
"status": "A",
"authorized_official_last_name": "GARDNER-REILLY",
"authorized_official_first_name": "REBECCA",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "PT",
"authorized_official_telephone_number": "773-824-6306",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Buffalo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.