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Organization Active NPI

Reprime Rehab and Performance PLLC

  • Physical Therapist
  • Yorkville, IL
National Provider Identifier
1548032980
Registry record updated Oct 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
REPRIME REHAB AND PERFORMANCE PLLC
Practice address
3122 Rehbehn CT
Yorkville, IL 60560-2435
Phone
(847) 421-4269
NPI assigned
Oct 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2023

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

Authorized official

Name
Erik Boilesen, DPT
Title
Owner
Phone
(847) 421-4269

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

3122 Rehbehn CT
Yorkville, IL 60560-2435

Mailing address

3122 Rehbehn CT
Yorkville, IL 60560-2435
Phone (847) 421-4269

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698624000000",
    "number": "1548032980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3122 REHBEHN CT",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605602435",
            "telephone_number": "847-421-4269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3122 REHBEHN CT",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605602435",
            "telephone_number": "847-421-4269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REPRIME REHAB AND PERFORMANCE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2023-10-30",
        "certification_date": "2023-10-28",
        "status": "A",
        "authorized_official_last_name": "BOILESEN",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-421-4269",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorkville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2023; 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.