Dina Petricca, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070-009748 Issued in IL

Practice address

127 W Prospect Ave
Mt Prospect, IL 60056-3135

Phone

(847) 255-2348

Fax

(847) 255-0308

NPI assigned

Feb 15, 2008

Sex

Female

Sole proprietor

No

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

Specialty

Physical Therapist in Private Practice

Education

Saint Louis University School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dynapeak Fitness and Physical Therapy PCGroup PAC ID 9638472582, 3 clinicians

Practice addresses (Care Compare)

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.

• Dynapeak Fitness and Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Mount Prospect, IL
  • NPI 1033509914

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Foot and Ankle Surgery Facility, LTD

  • Ambulatory Surgical Clinic/Center
  • Des Plaines, IL
  • NPI 1619981479

  Physical Therapist

  NPD (past)
• Moore Health SC

  • Chiropractor
  • South Elgin, IL
  • NPI 1457560849
  NPD (past)
• Stay Fit Physical Therapy, Inc

  • Physical Therapist
  • Mount Prospect, IL
  • NPI 1891846176
  NPD (past)

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1003084757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 W PROSPECT AVE",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600563135",
            "telephone_number": "847-255-2348",
            "fax_number": "847-255-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 W PROSPECT AVE",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600563135",
            "telephone_number": "847-255-2348",
            "fax_number": "847-255-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRICCA",
        "first_name": "DINA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-009748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Mora Perez, M.D.
• Donovan Edward Perry
• Jason R Perry, R.PH.
• Kelsey Persels
• Carrie Petrelli, LCSW
• Alyssa Nicole Petty, PT, DPT
• Lindsey Lee Phelps, M.S., CCC-SLP
• Priyanka Philip
• Amalia Phillips
• Philos Enterprises Inc.

• Physical Therapist in Mt Prospect, IL
• Providers in Mt Prospect, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; 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.

Verify at the official NPI Registry.