Active NPI
Nathan Dingess, DPT
- Physical Therapist
- Belvidere, IL
National Provider Identifier
1073249488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070026819
- Practice address
- 1255 Logan Ave
Belvidere, IL 61008-4001 - Phone
- (815) 547-4733
- Fax
- (815) 547-9733
- NPI assigned
- Jul 27, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070026819 | IL | Primary |
Addresses
Primary practice location
1255 Logan Ave
Belvidere, IL 61008-4001
Mailing address
2662 McFarland Rd
Rockford, IL 61107-6806
Phone (815) 227-1700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Belvidere Rehab & Sports Medicine | Single Specialty | Current | Accepting new patients |
Locations
1255 Logan Ave
Belvidere, IL 61008
Phone (815) 547-4733
2662 McFarland Rd
Rockford, IL 61107
Phone (815) 226-8780
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": "1658880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679356800000",
"number": "1073249488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2662 MCFARLAND RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611076806",
"telephone_number": "815-227-1700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1255 LOGAN AVE",
"city": "BELVIDERE",
"state": "IL",
"postal_code": "610084001",
"telephone_number": "815-547-4733",
"fax_number": "815-547-9733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DINGESS",
"first_name": "NATHAN",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-07-27",
"last_updated": "2023-03-21",
"certification_date": "2023-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "IL",
"license": "070026819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Belvidere, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.