Individual provider Active NPI

Veronica Yee Concepcion Rueda, PT, DPT

  • Physical Therapist
  • Plainfield, IL
National Provider Identifier
1972378115
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.019021 Issued in IL
Practice address
13400 S Route 59 Ste 116-326
Plainfield, IL 60585-5826
Phone
(815) 267-7334
Fax
(630) 429-9411
NPI assigned
Nov 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070.019021 IL Primary

Addresses

Primary practice location

13400 S Route 59 Ste 116-326
Plainfield, IL 60585-5826

Mailing address

13400 S Route 59 Ste 116-326
Plainfield, IL 60585-5826
Phone (815) 267-7334

Other names 1

  • Veronica Abias Yee Concepcion Former name

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
070.019021ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shining Star Therapy, LLC CurrentSince Nov 19, 2023 Accepting new patients

Locations

13400 S Route 59
Ste 116326
Plainfield, IL 60585
Phone (815) 267-7334

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1700179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1972378115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13400 S ROUTE 59 STE 116-326",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605855826",
            "telephone_number": "815-267-7334",
            "fax_number": "630-429-9411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 S ROUTE 59 STE 116-326",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605855826",
            "telephone_number": "815-267-7334",
            "fax_number": "630-429-9411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUEDA",
        "first_name": "VERONICA",
        "middle_name": "YEE CONCEPCION",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-17",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.019021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VERONICA",
            "last_name": "YEE CONCEPCION",
            "middle_name": "ABIAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Plainfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.