NPIMap

Organization Active NPI

Adapt Physical Therapy and Sports Performance, PLLC

Doing business as Unbroken Rehab and Athletics

  • Physical Therapy Clinic/Center
  • Chicago, IL
National Provider Identifier
1104391028
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ADAPT PHYSICAL THERAPY AND SPORTS PERFORMANCE, PLLC
Doing business as
Unbroken Rehab and Athletics
Practice address
6323 N Avondale Ave Ste B-243
Chicago, IL 60631-1962
Phone
(847) 305-4507
Fax
(773) 887-0017
NPI assigned
Oct 7, 2018
Last updated
Jan 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Authorized official

Name
Dr. Frederick Duane Sampang, PT, DPTNPI 1073035382
Title
Owner
Phone
(847) 293-8171

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 Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

6323 N Avondale Ave Ste B-243
Chicago, IL 60631-1962

Mailing address

6323 N Avondale Ave Ste B-243
Chicago, IL 60631-1962
Phone (847) 305-4507

Other practice location 1

2933 N Lincoln Ave
Chicago, IL 60657-9897
Phone (847) 305-4507

Other practice location 2

1025 W Jackson Blvd
Chicago, IL 60607-2913
Phone (847) 305-4507

Other practice location 3

650 Wheeling Rd
Wheeling, IL 60090-5713
Phone (847) 305-4507

Other names 1

  • Unbroken Rehab and Athletics Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260310000079 IL Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4284117268 Receives reassigned benefits from 7 practitioners
Practice locations: Wheeling, IL; Chicago, IL

National Provider Directory

National Provider Directory

Locations

1025 W Jackson Blvd
Chicago, IL 60607
Phone (847) 305-4507

6323 N Avondale Ave
Ste B243
Chicago, IL 60631
Phone (847) 293-8171

Practitioners & affiliated clinicians

Practitioners 11

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": "1538870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769731200000",
    "number": "1104391028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6323 N AVONDALE AVE STE B-243",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311962",
            "telephone_number": "847-305-4507",
            "fax_number": "773-887-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6323 N AVONDALE AVE STE B-243",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311962",
            "telephone_number": "847-305-4507",
            "fax_number": "773-887-0017"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2933 N Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606579897",
            "country_code": "US",
            "telephone_number": "847-305-4507",
            "fax_number": "773-887-0017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1025 W Jackson Blvd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606072913",
            "country_code": "US",
            "telephone_number": "847-305-4507",
            "fax_number": "773-887-0017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "650 Wheeling Rd",
            "address_purpose": "LOCATION",
            "city": "Wheeling",
            "state": "IL",
            "postal_code": "600905713",
            "country_code": "US",
            "telephone_number": "847-305-4507",
            "fax_number": "773-887-0017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADAPT PHYSICAL THERAPY AND SPORTS PERFORMANCE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-07",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A",
        "authorized_official_last_name": "SAMPANG",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "DUANE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-293-8171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Unbroken Rehab and Athletics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Unbroken Rehab and Athletics",
            "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 Jan 30, 2026; 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.