Christopher Rebuck, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070022058 Issued in IL

Practice address

1719 Clawson St
Alton, IL 62002-4702

Phone

(618) 462-1133

Fax

(618) 462-3736

NPI assigned

Feb 23, 2016

Last updated

Feb 23, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Alton Physical Therapy, P.C.

  • Physical Therapist
  • Alton, IL
  • NPI 1710017306
  NPD

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1699134320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1719 CLAWSON ST",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620024702",
            "telephone_number": "618-462-1133",
            "fax_number": "618-462-3736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1719 CLAWSON ST",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620024702",
            "telephone_number": "618-462-1133",
            "fax_number": "618-462-3736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBUCK",
        "first_name": "CHRISTOPHER",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070022058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Michelle Rapini, DDS
• Rachael Rascop
• Amir Rasuli, DDS
• Daniel Thomas Rauch
• Kenneth Glenn Rawson, DMD
• Mikaela Reddick, MSW,LSW
• Hunter C. Reed
• Jan Reed, BSN,RN
• Angel Reeed, AA
• Sara Regan

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.