Organization Active NPI

Sublime Physical Therapy, PLLC

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1700697729
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SUBLIME PHYSICAL THERAPY, PLLC
Practice address
6354 W Gunnison St
Chicago, IL 60630-2954
Phone
(872) 350-2374
NPI assigned
Jan 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

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

Authorized official

Name
Ms. Magdalena Maria Rebisz, DPTNPI 1275182545
Title
Owner/DPT
Phone
(872) 350-2374

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

6354 W Gunnison St
Chicago, IL 60630-2954

Mailing address

6354 W Gunnison St
Chicago, IL 60630-2954
Phone (872) 350-2374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250707003202 IL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 2062942519 Receives reassigned benefits from 1 practitioner
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

6354 W Gunnison St
Chicago, IL 60630
Phone (872) 350-2374

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1737072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1700697729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6354 W GUNNISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302954",
            "telephone_number": "872-350-2374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6354 W GUNNISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302954",
            "telephone_number": "872-350-2374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBLIME PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-17",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "REBISZ",
        "authorized_official_first_name": "MAGDALENA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "OWNER/DPT",
        "authorized_official_telephone_number": "872-350-2374",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.