DPT Sport PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

070013512 Issued in IL

Legal business name

DPT SPORT PC

Practice address

6101 S County Line Rd
Suite # 57
Burr Ridge, IL 60527-8132

Phone

(312) 286-7147

NPI assigned

Aug 16, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Christine Ann Klody, PT, DPT, MPT, CSCS

Title

President/Physical Therapist

Phone

(312) 286-7147

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1376611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433116800000",
    "number": "1114350980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 S COUNTY LINE RD",
            "address_2": "SUITE # 57",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605278132",
            "telephone_number": "312-286-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 S COUNTY LINE RD",
            "address_2": "SUITE # 57",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605278132",
            "telephone_number": "312-286-7147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DPT SPORT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-16",
        "last_updated": "2015-06-01",
        "status": "A",
        "authorized_official_last_name": "KLODY",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PRESIDENT/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "312-286-7147",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, MPT, CSCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "070013512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Ramos Dizon, P.T.
• Dochas
• Dyenina Daleon Donnelly, FNP-BC
• Candace Douglas-Sterling
• Maria Dowell, MD
• Dr. Kristina Zivrev, DMD LTD. (Burr Ridge Dental)
• Dr. Lavinia L Myers, PC
• Dr. Nancy Healy Haney and Associates, PLLC
• Dr. Susan M. Radtke, P.C.
• Gary Lee Drahos, DDS

• Physical Therapy Clinic/Center in Burr Ridge, IL
• Providers in Burr Ridge, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.