Active NPI
Kharen Dino Degalicia, PT
- Physical Therapist
- Des Plaines, IL
National Provider Identifier
1063149763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.017172
- Practice address
- 1750 Elmhurst Rd
Des Plaines, IL 60018-1862 - Phone
- (847) 228-1500
- NPI assigned
- Aug 3, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.017172 | IL | Primary |
Addresses
Primary practice location
1750 Elmhurst Rd
Des Plaines, IL 60018-1862
Mailing address
8477 S Suncoast Blvd
Homosassa, FL 34446-5028
Phone (800) 381-0822
Other practice location 1
420 N Wolf Rd
Northlake, IL 60164-1670
Phone (800) 381-0822
Other names 1
- Kharen Rivera Dino
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
420 N Wolf Rd
Northlake, IL 60164-1670
Phone (800) 381-0822
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070.017172 | IL | MD | Physical Therapist |
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": "1659484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778544000000",
"number": "1063149763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8477 S SUNCOAST BLVD",
"city": "HOMOSASSA",
"state": "FL",
"postal_code": "344465028",
"telephone_number": "800-381-0822",
"fax_number": "352-565-5201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1750 ELMHURST RD",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600181862",
"telephone_number": "847-228-1500"
}
],
"practiceLocations": [
{
"address_1": "420 N Wolf Rd",
"address_purpose": "LOCATION",
"city": "Northlake",
"state": "IL",
"postal_code": "601641670",
"country_code": "US",
"telephone_number": "800-381-0822",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEGALICIA",
"first_name": "KHAREN",
"middle_name": "DINO",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-03",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.017172",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KHAREN",
"last_name": "DINO",
"middle_name": "RIVERA",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Des Plaines, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.