Functional Effect Rehabilitation LTD

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

038012435 Issued in IL

Legal business name

FUNCTIONAL EFFECT REHABILITATION LTD

Practice address

2474 Wisconsin Ave
Downers Grove, IL 60515-4019

Phone

(920) 728-2930

NPI assigned

May 28, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Tyler Daniel Reynolds, D.C.

Title

Owner

Phone

(920) 728-2930

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Kyle Pigney

  • Rehabilitation Chiropractor
  • Downers Grove, IL
  • NPI 1841136157
  NPD (past)

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

{
    "created_epoch": "1369699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369699200000",
    "number": "1649617994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2474 WISCONSIN AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605154019",
            "telephone_number": "920-728-2930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2474 WISCONSIN AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605154019",
            "telephone_number": "920-728-2930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL EFFECT REHABILITATION LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-28",
        "last_updated": "2013-05-28",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "TYLER",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-728-2930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Rehabilitation",
            "state": "IL",
            "license": "038012435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon L Frigo Doyle, APNP
• Leslie Frondorf
• Angela Frontera
• Mary Ann Frontzak, ATC
• Hayley Fuller
• Michael A Fuys, D.C.
• Lisa Gacki, LSW
• Zollie Benson Gadson III, PHARMD
• Tara Gagner, ANP
• Kerry Galarza, OTR L

• Rehabilitation Chiropractor in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Rehabilitation Chiropractor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.

Verify at the official NPI Registry.