Active NPI
Jessica Skalski, DPT
- Physical Therapist
- Chicago, IL
National Provider Identifier
1184093957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070021909
- Practice address
- 1746 W Addison St Unit 1
Chicago, IL 60613-3538 - Phone
- (773) 770-2000
- NPI assigned
- Sep 22, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 070021909 | IL | Primary |
Addresses
Primary practice location
1746 W Addison St Unit 1
Chicago, IL 60613-3538
Mailing address
625 Enterprise Dr
Oak Brook, IL 60523-8813
Phone (630) 575-6200
Other names 1
- Jessica Doporcyk
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
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4746 N Cumberland Ave
Chicago, IL 60656-4239
Phone (773) 417-8901
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Impact Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Ipt Management Services, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
4746 N Cumberland Ave
Chicago, IL 60656
Phone (773) 417-8901
1103 S State St
Ste 300
Chicago, IL 60605
Phone (312) 877-5101
Organizations & group practices 2
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.
-
- Physical Therapist
- Chicago, IL
- NPI 1508622614
-
- Physical Medicine & Rehabilitation Physician
- Chicago, IL
- NPI 1063868206
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1442880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738195200000",
"number": "1184093957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 ENTERPRISE DR",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605238813",
"telephone_number": "630-575-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1746 W ADDISON ST UNIT 1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606133538",
"telephone_number": "773-770-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SKALSKI",
"first_name": "JESSICA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-22",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070021909",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "DOPORCYK",
"code": "1",
"type": "Former Name"
}
]
}
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, 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.