RENE RILLORTA (NPI# 1932375466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932375466 |
| Entity Type | Individual |
| Full Name | RENE RILLORTA |
| Credential | PT |
| Practice Address |
3415 Sheridan Rd Kenosha WI 53140-1924 |
| Practice Telephone | 2626576681 |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 10208 | WI | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 40442900 | 05 |
| Street Address |
3415 SHERIDAN RD |
| City | KENOSHA |
| State | WI |
| Zip Code | 53140-1924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992998132 | Robyn Louise Vande Berg | Occupational Therapy Assistant | 3415 Sheridan Rd, Kenosha, WI 53140-1924 | 2007-08-21 |
| 1407408529 | Heidi Hingtgen | Occupational Therapist | 3415 Sheridan Rd, Kenosha, WI 53140-1924 | 2019-07-09 |
| 1710547377 | Kara Dwyer | Physical Therapist | 3415 Sheridan Rd, Kenosha, WI 53140-1924 | 2019-06-17 |
| 1386114288 | Nicole Marie Thompson | Occupational Therapist | 3415 Sheridan Rd, Kenosha, WI 53140-1924 | 2018-12-04 |
| 1396265500 | Wendy Gauss | Physical Therapy Assistant | 3415 Sheridan Rd, Kenosha, WI 53140-1924 | 2017-06-20 |
| 1700312436 | The Bay At Waters Edge Health and Rehabilitation LLC | Skilled Nursing Facility | 3415 Sheridan Rd, Kenosha, WI 53140 | 2017-05-01 |
| 1316393895 | Nicole Eide | Occupational Therapist | 3415 Sheridan Rd, Kenosha, WI 53140-1924 | 2016-05-13 |
| 1174949663 | Woodstock Health Care LLC | Skilled Nursing Facility | 3415 Sheridan Rd, Kenosha, WI 53140-1924 | 2014-03-09 |
| 1700201019 | Bray Grundy | Physical Therapist | 3415 Sheridan Rd, Kenosha, WI 53140-1924 | 2014-02-24 |
| 1588096762 | Lisa Macek | Physical Therapist | 3415 Sheridan Rd, Kenosha, WI 53140-1924 | 2013-07-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225663396 | Lydia Zopf | Counselor | 2001 Alford Park Dr., Carthage College, Kenosha, WI 53140 | 2020-03-09 |
| 1952949406 | Rotate Rehabilitation and Performance | Physical Therapist | 5606 6th Avenue Suite Ll9, Kenosha, WI 53140 | 2019-12-16 |
| 1134778590 | Brenda Chiapetta | Registered Nurse | 3233 23rd Ave, Kenosha, WI 53140 | 2019-09-09 |
| 1275003394 | Kimberly Shaffner | Family Medicine | 4536 22nd Avenue, Kenosha, WI 53140 | 2018-12-01 |
| 1659863389 | Bart L Mengo | Contractor | 1715 60th Street, Kenosha, WI 53140 | 2018-05-30 |
| 1093182941 | Guided Wellness Counseling | Community/Behavioral Health | 1112 56th St, Kenosha, WI 53140 | 2015-08-26 |
| 1376970764 | Stacey L Andersen | Acupuncturist | 5603 7th Ave, Kenosha, WI 53140 | 2013-10-01 |
| 1841467438 | Deborah Schwerdtfeger | Occupational Therapy Assistant | 3415 Sheridan Road, Woodstock Rehab Dept, Kenosha, WI 53140 | 2008-05-13 |
| 1942492020 | Rebecca Ann Burdette | Counselor | 920 60th Street, Renosha, WI 53140 | 2007-08-13 |
| 1851598619 | Aurora Medical Group, Inc. | Durable Medical Equipment & Medical Supplies | 2707 15th Place, Kenosha, WI 53140 | 2007-06-27 |
| Find all providers in zip 53140 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396120051 | Kristin Lindstrom | Specialist | 4000 16th Ave, Kenosha, WI 53140-2445 | 2015-07-23 |
| 1922258540 | Kenosha Vascular Laboratory | Specialist | 6308 8th Ave Ste 301, Kenosha, WI 53143-5031 | 2008-09-19 |
| 1194903518 | Midwest Center for Women's Health | Specialist | 10222 74th St Ste 200, Kenosha, WI 53142-6810 | 2008-02-07 |
| 1003967761 | Fred C Chiappetta | Specialist | 6821 39th Ave, Kenosha, WI 53142-7127 | 2007-01-16 |
| 1588650774 | Elizabeth Anne Fifield | Specialist | 10222 74th Street, Suite 200, Kenosha, WI 53142-6800 | 2005-09-22 |
| 1134360084 | Carol Margaret Michels | Specialist | 4103 60th St, Kenosha, WI 53144-2509 | 2009-03-23 |
| 1023262060 | Cook Medical Associates, Ltd | Specialist | 6308 8th Ave Ste 301, Kenosha, WI 53143-5031 | 2008-11-04 |
| 1427185255 | Cook Medical Assoc Ltd | Specialist | 6308 8th Ave, Suite 301, Kenosha, WI 53143-5031 | 2007-02-28 |
| 1033246152 | Kenosha Vascular Lab Inc | Specialist | 6308 8th Ave, Suite 301, Kenosha, WI 53143-5031 | 2007-02-27 |
| 1770640617 | Jane Cary Pallin | Specialist | 10117 74th St, Suite 150, Kenosha, WI 53142-7533 | 2007-01-02 |
| Find all providers in KENOSHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.