Active NPI
Dakota John Greenwalt, DPT
- Physical Therapist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070027339
- Practice address
- 2869 N Lincoln Ave
Chicago, IL 60657-4201 - Phone
- (773) 665-9950
- NPI assigned
- Dec 29, 2022
- Last updated
- Apr 25, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | NU | ||
| Physical Therapist | 225100000X | 070027339 | IL | Primary |
Addresses
Primary practice location
2869 N Lincoln Ave
Chicago, IL 60657-4201
Mailing address
1621 N Honore St Apt 3R
Chicago, IL 60622-1303
Phone (952) 484-3644
Other practice location 1
1640 W Roosevelt Rd
Chicago, IL 60608-1316
Phone (312) 413-0843
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
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2900 Foxfield Rd
Suite 102
St Charles, IL 60174-5799
Phone (630) 377-1188
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.28 of 100
- Quality
- 73.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.73
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Physical Therapist | Current | Accepting new patients |
| Genesis Orthopedics & Sports Medicine LLC | Physical Therapy | Current | Accepting new patients |
| The Board of Trustees of the University of Illinois | Physical Therapy | Current | Accepting new patients |
| Genesis Orthopedics & Sports Medicine LLC | Current | Accepting new patients |
Locations
1640 W Roosevelt Rd
Chicago, IL 60608
Phone (312) 413-1871
1640 W Roosevelt Rd
#727
Chicago, IL 60608
Phone (312) 413-1871
25 E Washington St
Ste 1310
Chicago, IL 60602
Phone (312) 855-1711
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-4210
2425 W 22nd St
Ste 103
Oak Brook, IL 60523
Phone (630) 571-3333
2900 Foxfield Rd
Ste 102
St Charles, IL 60174
Phone (630) 209-1960
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- St Charles, IL
- NPI 1346389061
Physical Therapy
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
Physical Therapy
-
dba Genesis Orthopedics & Sports Medicine DME
- Durable Medical Equipment & Medical Supplies
- Oak Brook, IL
- NPI 1467954016
-
dba Occupational Health Service Institute (OHSI)
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
dba College of Applied Health Sciences Faculty Practice
- Early Intervention Provider Agency
- Chicago, IL
- NPI 1174554331
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745539200000",
"number": "1073226510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1621 N HONORE ST APT 3R",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606221303",
"telephone_number": "952-484-3644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2869 N LINCOLN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606574201",
"telephone_number": "773-665-9950"
}
],
"practiceLocations": [
{
"address_1": "1640 W Roosevelt Rd",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606081316",
"country_code": "US",
"telephone_number": "312-413-0843",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GREENWALT",
"first_name": "DAKOTA",
"middle_name": "JOHN",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-12-29",
"last_updated": "2025-04-25",
"certification_date": "2025-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070027339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.