Active NPI
Rufina B Tabale, PT
- Physical Therapist
- Bolingbrook, IL
National Provider Identifier
1609196153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.015151
- Practice address
- 247 Tiger St
Bolingbrook, IL 60490-2054 - Phone
- (773) 526-1542
- NPI assigned
- Jun 7, 2010
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT 25158 | FL | |
| Physical Therapist | 225100000X | 070.015151 | IL | Primary |
Addresses
Primary practice location
247 Tiger St
Bolingbrook, IL 60490-2054
Mailing address
1103 River Bluff Blvd
Rockford, IL 61103-2019
Phone (407) 429-1237
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 907275193 | Other | IL | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
701 Heritage Woods Dr
Minooka, IL 60447-8281
Phone (815) 826-4963
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 25158 | FL | MD | Physical Therapist |
| 070.015151 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Therapeutics LTD | Physical Therapist | Current | Accepting new patients |
| Comprehensive Therapeutics LTD | Physical Therapist | Current | Accepting new patients |
| Jackson Therapy Partners | Past | Accepting new patients |
Locations
1015 Oconor Ave
La Salle, IL 61301
Phone (224) 616-5446
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- North Riverside, IL
- NPI 1699094102
-
- Physical Therapist
- Lagrange, GA
- NPI 1881458354
-
- Skilled Nursing Facility
- Orlando, FL
- NPI 1689836686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763596800000",
"number": "1609196153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 RIVER BLUFF BLVD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611032019",
"telephone_number": "407-429-1237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "247 TIGER ST",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604902054",
"telephone_number": "773-526-1542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TABALE",
"first_name": "RUFINA",
"middle_name": "B",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-07",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT 25158",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.015151",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "907275193",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bolingbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.