Jehu Ruelo Rueles

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070018757 Issued in IL

Practice address

22W129 Woodview Dr
Medinah, IL 60157-9528

Phone

(847) 744-5978

Fax

(847) 744-5978

NPI assigned

Sep 23, 2011

Last updated

Aug 5, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Illinois Luna Care Physical Therapy LLCGroup PAC ID 5193153450, 129 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Illinois Luna Care Physical Therapy LLC

  • Physical Therapist
  • Naperville, IL
  • NPI 1033755566
  Medicare reassignment Care Compare group NPD
• International Therapy Partners

  • Physical Therapy Clinic/Center
  • Medinah, IL
  • NPI 1700586807
  NPD Authorized official

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1659654887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22W129 WOODVIEW DR",
            "city": "MEDINAH",
            "state": "IL",
            "postal_code": "601579528",
            "telephone_number": "847-744-5978",
            "fax_number": "847-744-5978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22W129 WOODVIEW DR",
            "city": "MEDINAH",
            "state": "IL",
            "postal_code": "601579528",
            "telephone_number": "847-744-5978",
            "fax_number": "847-744-5978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUELES",
        "first_name": "JEHU",
        "middle_name": "RUELO",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-23",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "070018757",
            "primary": false
        },
        {
            "code": "2251E1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Ergonomics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070018757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen P Marino
• Medinah Spine & Rehabilitation LTD
• Lauren Ashley Prena, M.ED.
• Alyvia Kathryn Susan Provost, M.S., CF-SLP
• Nicole Rood, MA, CCC-SLP
• Kelli Sander, RBT-18-71726
• Suburban Xray
• Silvia Y Urriago-Neira, B,O

• Physical Therapist in Medinah, IL
• Providers in Medinah, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.