Bree Ann Rentfro, MS, PTA, ATC

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160001825 Issued in IL

Practice address

100 197TH PL
Chicago Heights, IL 60411-7539

Phone

(708) 755-3020

NPI assigned

Mar 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248220800000",
    "number": "1659340784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16015 APPLEWOOD LN APT 107",
            "city": "ORLAND HILLS",
            "state": "IL",
            "postal_code": "604873184",
            "telephone_number": "708-845-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 197TH PL",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604117539",
            "telephone_number": "708-755-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENTFRO",
        "first_name": "BREE",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "MS, PTA, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2009-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160001825",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "96001164",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fatma Elzhra Hossini Ramadan, M.D.
• Marilyn Ray
• Dominique Reeves, MD
• Rehab Services (Chicago Heights), S.C.
• Renew You Health & Wellness PLLC
• Rex Medical Services LLC
• Carlos Reyes
• Ladonna Reynolds
• David Rilex
• Christopher Rivera, ND

• All providers in Chicago Heights, IL
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; 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.