Peter Dionela, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070007584 Issued in IL

Practice address

319 Front St
McHenry, IL 60050-5504

Phone

(815) 578-9655

Fax

(815) 578-9642

NPI assigned

Nov 27, 2007

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Conroy Sports Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • McHenry, IL
  • NPI 1598882391

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1196121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1013199520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 FRONT ST",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600505504",
            "telephone_number": "815-578-9655",
            "fax_number": "815-578-9642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 FRONT ST",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600505504",
            "telephone_number": "815-578-9655",
            "fax_number": "815-578-9642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIONELA",
        "first_name": "PETER",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-27",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070007584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Marie Dilla, DO
• Jayne Caren Diller
• Deborah Louise Dillon-Peters, MHP
• Kali Maria Dillon
• Jammy J. Dinnel, CRNA
• Frank Anthony Disilvio Jr., MD
• Lesley Dixon, MS
• Margery Dixon
• Maronda Nochieryl Dixon
• Tahji Rashaad Dixon, APRN, CRNA

• Physical Therapist in McHenry, IL
• Providers in McHenry, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.