NPIMap

Organization Active NPI

Rezin Orthopedic and Sports Medicine, SC

  • Durable Medical Equipment & Medical Supplies
  • Ottawa, IL
National Provider Identifier
1689180275
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
REZIN ORTHOPEDIC AND SPORTS MEDICINE, SC
Practice address
1306 Gemini Cir Ste 3
Ottawa, IL 61350-1695
Phone
(815) 431-9980
Fax
(815) 431-9981
NPI assigned
Dec 19, 2017
Organization subpart
Yes
Parent organization
REZIN ORTHOPEDIC AND SPORTS MEDICINE, SCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Michael Topielec
Title
Administrator
Phone
(815) 318-5645

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X
Occupational Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 224Z00000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1306 Gemini Cir Ste 3
Ottawa, IL 61350-1695

Mailing address

1051 W US Route 6 Ste 100
Morris, IL 60450-3370
Phone (815) 942-4875

National Provider Directory

National Provider Directory
Tax ID family
Rezin Ctr for Orthopedi16 organizations share this tax ID, including this one
Part of
Rezin Ctr for Orthopedi

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

1306 Gemini Cir
Ste 3
Ottawa, IL 61350
Phone (815) 431-9980

NPI Registry JSON

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

{
    "created_epoch": "1513641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1689180275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1051 W US ROUTE 6 STE 100",
            "city": "MORRIS",
            "state": "IL",
            "postal_code": "604503370",
            "telephone_number": "815-942-4875",
            "fax_number": "815-942-5046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 GEMINI CIR STE 3",
            "city": "OTTAWA",
            "state": "IL",
            "postal_code": "613501695",
            "telephone_number": "815-431-9980",
            "fax_number": "815-431-9981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REZIN ORTHOPEDIC AND SPORTS MEDICINE, SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "REZIN ORTHOPEDIC AND SPORTS MEDICINE, SC",
        "enumeration_date": "2017-12-19",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "TOPIELEC",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "815-318-5645"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottawa, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.