Organization Active NPI

Reboot Health PLLC

  • Family Nurse Practitioner
  • Schaumburg, IL
National Provider Identifier
1508628173
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
REBOOT HEALTH PLLC
Practice address
1750 E Golf Rd Ste 1118
Schaumburg, IL 60173-5835
Phone
(630) 464-1644
NPI assigned
Jan 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Authorized official

Name
Sisenia C Salinas, MDNPI 1548819808
Title
Owner
Phone
(630) 464-1644

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)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1750 E Golf Rd Ste 1118
Schaumburg, IL 60173-5835

Mailing address

1750 E Golf Rd Ste 1118
Schaumburg, IL 60173-5835
Phone (630) 464-1644

Other names 1

  • Reboot Health, PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240329000186 IL Part B Supplier - Clinic/Group Practice 9032557848 Receives reassigned benefits from 1 practitioner
Practice locations: Schaumburg, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2300195Reboot Health, PLLC1750 E Golf Rd - Ste 1118, Schaumburg, IL 60173Certificate of waiverMar 4, 2028

National Provider Directory

National Provider Directory

Locations

1750 E Golf Rd
Ste 1118
Schaumburg, IL 60173
Phone (630) 464-1644

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1508628173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 E GOLF RD STE 1118",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735835",
            "telephone_number": "630-464-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 E GOLF RD STE 1118",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735835",
            "telephone_number": "630-464-1644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBOOT HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "SALINAS",
        "authorized_official_first_name": "SISENIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-464-1644",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Reboot Health, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.