Rebecca J Smith

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070022625 Issued in IL

Practice address

554 Green Bay Rd Ste B
Kenilworth, IL 60043-1086

Phone

(847) 256-3500

Fax

(847) 256-3513

NPI assigned

May 26, 2016

Last updated

Aug 31, 2016By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1730537176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 ENTERPRISE DR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605238813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "554 GREEN BAY RD STE B",
            "city": "KENILWORTH",
            "state": "IL",
            "postal_code": "600431086",
            "telephone_number": "847-256-3500",
            "fax_number": "847-256-3513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "REBECCA",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070022625",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Dunn Rolighed
• Matthew B Sagun, D.D.S., M.S.
• Daniel Schaefer, MSW
• Elisabeth Schmidt
• Lauren Siegfried, MA
• Claire Soch, PA
• Ben Spanner
• Karla Elizabeth Angelika Steingraber, PSY.D.
• Jennifer Stevens, MA
• Lauren A. Tranchita

• Physical Therapist in Kenilworth, IL
• Providers in Kenilworth, 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 31, 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.