Active NPI
Brenna Elizabeth Hill, PTA
- Rehabilitation Hospital
- Bourbonnais, IL
National Provider Identifier
1619315751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital
- License
- 160005675
- Practice address
- 6942 E 3500N Rd
Bourbonnais, IL 60914-4054 - Phone
- (815) 263-9852
- NPI assigned
- Jun 11, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital | 283X00000X | 160005675 | IL | Primary |
Addresses
Primary practice location
6942 E 3500N Rd
Bourbonnais, IL 60914-4054
Mailing address
6942 E 3500N Rd
Bourbonnais, IL 60914-4054
Phone (815) 263-9852
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160005675 | IL | MD | Rehabilitation Hospital |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370908800000",
"number": "1619315751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6942 E 3500N RD",
"city": "BOURBONNAIS",
"state": "IL",
"postal_code": "609144054",
"telephone_number": "815-263-9852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6942 E 3500N RD",
"city": "BOURBONNAIS",
"state": "IL",
"postal_code": "609144054",
"telephone_number": "815-263-9852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILL",
"first_name": "BRENNA",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-11",
"last_updated": "2013-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "283X00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Hospital",
"state": "IL",
"license": "160005675",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bourbonnais, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.