OrganizationActive
River District Rehabilitation, LLC
NPI 1043548563 · Point of Service · Rockford, IL
River District Rehabilitation, LLC is a Point of Service organization in Rockford, IL (NPI 1043548563).
Provider details
- NPI number
- 1043548563
- Entity type
- Organization
- Primary specialty
- Point of ServiceManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Edwin Distrito, Owner(815) 885-2820
- License
- 1990943 (IL)
Specialties & taxonomies
Managed Care Organizations
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
119 N Wyman St
Rockford, IL 61101-1107
Phone: (815) 977-4490
Fax: (815) 977-4594
Street-level locationGet directions
Mailing address
12402 Tweed Dr
Loves Park, IL 61111-8959
Registry dates
- Enumerated
- 2009-11-20
- Last updated
- 2009-11-20
Frequently asked questions
- What is River District Rehabilitation, LLC's NPI number?
- River District Rehabilitation, LLC's National Provider Identifier (NPI) is 1043548563, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is River District Rehabilitation, LLC?
- River District Rehabilitation, LLC is classified in the NPPES registry as Point of Service (Managed Care Organizations).
- Where is River District Rehabilitation, LLC located?
- River District Rehabilitation, LLC's practice location on file with NPPES is 119 N Wyman St, Rockford, IL 61101-1107.
- What is River District Rehabilitation, LLC's phone number?
- The practice phone number listed in the NPPES registry for River District Rehabilitation, LLC is (815) 977-4490.
- Who is the authorized official for River District Rehabilitation, LLC?
- The authorized official listed on River District Rehabilitation, LLC's NPPES record is Edwin Distrito, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is River District Rehabilitation, LLC's NPI active?
- Yes — River District Rehabilitation, LLC's NPI (1043548563) is active in the NPPES registry as of the last update on 2009-11-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.