Active NPI
Reema C Patel, P.T.
- Physical Therapist
- Roselle, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070012110
- Practice address
- 1540 W Lake St
Premier Physical Therapy
Roselle, IL 60172 - Phone
- (630) 295-9900
- Fax
- (630) 295-9909
- NPI assigned
- Jul 14, 2008
- Last updated
- Dec 21, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070012110 | IL | Primary |
Addresses
Primary practice location
1540 W Lake St
Premier Physical Therapy
Roselle, IL 60172
Mailing address
361 S Frontage Rd
#124
Burr Ridge, IL 60527
Phone (630) 920-4670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
16101 Weber Rd
Crest Hill, IL 60403-8812
Phone (815) 836-3799
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070012110 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Physicians, S.C. | Current | Accepting new patients | |
| Premier Therapy, LLC | Physical Therapist | Past | Accepting new patients |
Locations
3052 Weber Dr
Aurora, IL 60502
Phone (630) 898-9700
16101 Weber Rd
Crest Hill, IL 60403
Phone (815) 306-1100
14330 S Will Cook Rd
Homer Glen, IL 60491
Phone (708) 645-0288
7632 Plaza Ct
Willowbrook, IL 60527
Phone (630) 789-3338
Organizations & group practices 2
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Crest Hill, IL
- NPI 1124075288
-
- Physical Therapist
- Chicago, IL
- NPI 1689964066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292889600000",
"number": "1952565541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "361 S FRONTAGE RD",
"address_2": "#124",
"city": "BURR RIDGE",
"state": "IL",
"postal_code": "60527",
"telephone_number": "630-920-4670",
"fax_number": "630-920-4689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 W LAKE ST",
"address_2": "PREMIER PHYSICAL THERAPY",
"city": "ROSELLE",
"state": "IL",
"postal_code": "60172",
"telephone_number": "630-295-9900",
"fax_number": "630-295-9909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "REEMA",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-14",
"last_updated": "2010-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070012110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roselle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.