Relive Physical Therapy of Bloomingdale LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

RELIVE PHYSICAL THERAPY OF BLOOMINGDALE LLC

Practice address

158 E Lake St Ste B
Bloomingdale, IL 60108-1166

Phone

(708) 390-3622

NPI assigned

Nov 1, 2021

Organization subpart

No

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

Authorized official

Name

James D Judge

Title

Owner

Phone

(708) 478-1706

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635724800000",
    "number": "1780349258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19070 EVERETT BLVD UNIT 204",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604482073",
            "telephone_number": "708-390-3362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 E LAKE ST STE B",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081166",
            "telephone_number": "708-390-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIVE PHYSICAL THERAPY OF BLOOMINGDALE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A",
        "authorized_official_last_name": "JUDGE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-478-1706"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER",
            "identifier": "99999999",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@relivetherapy.com",
            "affiliation": "N",
            "address_1": "158 E Lake St Ste B",
            "city": "Bloomingdale",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601081166",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sahana Reddy
• Erin Redfern, LCPC
• Sarah Reece, M.A. CCC-SLP/L
• Rehab Chiro Eliud M Sierra Jr Sole MBR
• Justine Linda Rehak, MSOTR/L
• Reset Chiropractic & Wellness Center, SC
• Maribeth K Rex
• Steven Joseph Rice, D.O.
• Richard Nuccio PC
• Right Balanced Living

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2021; 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.