Individual provider Active NPI

Ryan A Rebmann, PTA

  • Physical Therapy Assistant
  • Libertyville, IL
National Provider Identifier
1659178556
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
160006757 Issued in IL
Practice address
736 Florsheim Dr Ste 13
Libertyville, IL 60048-3704
Phone
(847) 680-1278
Fax
(847) 680-2026
NPI assigned
Feb 27, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 160006757 IL Primary

Addresses

Primary practice location

736 Florsheim Dr Ste 13
Libertyville, IL 60048-3704

Mailing address

736 Florsheim Dr Ste 13
Libertyville, IL 60048-3704
Phone (847) 680-1278

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

LicenseStateTypeSpecialty
160006757ILMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Affinity Physical Therapy SC Inc CurrentSince Mar 11, 2025 Accepting new patients
Artaius Physical Therapy Center Inc PastSince Mar 11, 2025 Accepting new patients

Locations

736 Florsheim Dr
Ste 13
Libertyville, IL 60048
Phone (847) 680-1278

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1659178556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 FLORSHEIM DR STE 13",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483704",
            "telephone_number": "847-680-1278",
            "fax_number": "847-680-2026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 FLORSHEIM DR STE 13",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600483704",
            "telephone_number": "847-680-1278",
            "fax_number": "847-680-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBMANN",
        "first_name": "RYAN",
        "middle_name": "A",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160006757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.