NPIMap

Organization Active NPI

Physio Chicago PLLC

Doing business as Physio Chicago Physical Therapy and Fitness

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1083309819
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYSIO CHICAGO PLLC
Doing business as
Physio Chicago Physical Therapy and Fitness
Practice address
4323 W Irving Park Rd Ste 1a
Chicago, IL 60641-2828
Phone
(773) 726-9880
NPI assigned
Apr 7, 2023
Last updated
Dec 20, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Thomas Joseph Dyke, DPTNPI 1811321995
Title
Managing Member/Owner
Phone
(773) 726-9880

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

4323 W Irving Park Rd Ste 1a
Chicago, IL 60641-2828

Mailing address

4323 W Irving Park Rd Ste 1a
Chicago, IL 60641-2828
Phone (773) 930-3087

Other names 1

  • Physio Chicago Physical Therapy and Fitness Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240131001257 IL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3072966696 Receives reassigned benefits from 5 practitioners
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

4323 W Irving Park Rd
Ste 1A
Chicago, IL 60641
Phone (773) 726-9880

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703030400000",
    "number": "1083309819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4323 W IRVING PARK RD STE 1A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412828",
            "telephone_number": "773-930-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 W IRVING PARK RD STE 1A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412828",
            "telephone_number": "773-726-9880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIO CHICAGO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-07",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A",
        "authorized_official_last_name": "DYKE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "MANAGING MEMBER/OWNER",
        "authorized_official_telephone_number": "773-726-9880",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physio Chicago Physical Therapy and Fitness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Physio Chicago Physical Therapy and Fitness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.