Individual provider Active NPI

Jennifer Rentner

  • Massage Therapist
  • Yorkville, IL
National Provider Identifier
1881079234
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
227.006709 Issued in IL
Practice address
129 Commercial Dr
Unit 5a
Yorkville, IL 60560-4729
Phone
(630) 553-7737
Fax
(630) 553-7747
NPI assigned
Jul 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 227.006709 IL Primary

Addresses

Primary practice location

129 Commercial Dr
Unit 5a
Yorkville, IL 60560-4729

Mailing address

1860 Foxfield Dr
Aurora, IL 60504-5343
Phone (630) 553-7737

Other identifiers 1

IdentifierTypeStateIssuer
227006709OtherILSTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
227.006709ILMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Priority Health Chiropractic SC PastSince Sep 18, 2013 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438041600000",
    "number": "1881079234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 FOXFIELD DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605045343",
            "telephone_number": "630-553-7737",
            "fax_number": "630-553-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 COMMERCIAL DR",
            "address_2": "UNIT 5A",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605604729",
            "telephone_number": "630-553-7737",
            "fax_number": "630-553-7747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENTNER",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IL",
            "license": "227.006709",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "227006709",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yorkville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.