NPIMap

Organization Active NPI

Rezin Orthopedics and Sports Medicine, SC

  • Durable Medical Equipment & Medical Supplies
  • Streator, IL
National Provider Identifier
1609915453
Registry record updated Oct 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
042007183 Issued in IL
Legal business name
REZIN ORTHOPEDICS AND SPORTS MEDICINE, SC
Doing business as
Vital Care Physical Therapy
Practice address
104 W 6TH St Lowr Level
Suite 210
Streator, IL 61364-2899
Phone
(815) 672-2842
Fax
(815) 433-3655
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2008

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

Authorized official

Name
Mr. Eric Anderson
Title
Administrator
Phone
(815) 942-4875

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 042007183 IL Primary

Addresses

Primary practice location

104 W 6TH St Lowr Level
Suite 210
Streator, IL 61364-2899

Mailing address

1051 W US Route 6
Suite 100
Morris, IL 60450-3349
Phone (815) 942-4875

Other names 1

  • Vital Care Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rezin Ctr for Orthopedi16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

104 W 6th St
Ste 210
Streator, IL 61364
Phone (815) 672-2842

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1609915453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 W US ROUTE 6",
            "address_2": "SUITE 100",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604503349",
            "telephone_number": "815-942-4875",
            "fax_number": "815-942-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W 6TH ST LOWR LEVEL",
            "address_2": "SUITE 210",
            "city": "STREATOR",
            "state": "IL",
            "postal_code": "613642899",
            "telephone_number": "815-672-2842",
            "fax_number": "815-433-3655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REZIN ORTHOPEDICS AND SPORTS MEDICINE, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "815-942-4875",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "042007183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vital Care Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Streator, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; 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.