Michelle Anne Reroma

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

070020523 Issued in IL

Practice address

13340 Morning Mist PL
Plainfield, IL 60585-1318

Phone

(630) 656-2973

NPI assigned

Feb 13, 2020

Sex

Female

Sole proprietor

Yes

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

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Comprehensive Therapeutics LTD

  • Physical Therapist
  • North Riverside, IL
  • NPI 1699094102

  Physical Therapy

  Medicare reassignment NPD
• Comprehensive Therapeutics LTD

  • Physical Therapist
  • Lagrange, GA
  • NPI 1881458354

  Physical Therapy

  NPD

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1902439482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13340 MORNING MIST PL",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605851318",
            "telephone_number": "630-656-2973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13340 MORNING MIST PL",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605851318",
            "telephone_number": "630-656-2973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REROMA",
        "first_name": "MICHELLE ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-13",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070020523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruthanne E Reiter, LCSW, CADC
• Kathleen Dorothy Reitmann
• Reliance Children'S Health Center Inc
• Reliant Senior Living LLC (Living Rehab)
• Kelly Renzi, PSYD
• Restorative Psychiatry Inc.
• Restore Health and Wellness PC
• Molly Margaret Revis, PA-C
• Revival Rehab PC
• Yazmine Reynolds

• Physical Therapy Clinic/Center in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2020; 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.