Individual provider Active NPI

Dana Podell, PT, DPT, E-RYT

  • Orthopedic Physical Therapist
  • Evanston, IL
National Provider Identifier
1215775226
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
070025869 Issued in IL
Practice address
1818 Dempster St
Evanston, IL 60202-1003
Phone
(773) 800-4330
NPI assigned
Jul 16, 2024
Reactivated
Aug 20, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X 070025869 IL
Neurology Physical Therapist 2251N0400X 070025869 IL
Sports Physical Therapist 2251S0007X 070025869 IL
Orthopedic Physical Therapist 2251X0800X 070025869 IL Primary

Addresses

Primary practice location

1818 Dempster St
Evanston, IL 60202-1003

Mailing address

806 Main St Apt 2
Evanston, IL 60202-4918
Phone (773) 800-4330

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
070025869ILMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dana Podell Physical Therapy & Yoga LLC Current Accepting new patients

Locations

1818 Dempster St
Evanston, IL 60202
Phone (773) 407-3663

1818 Dempster St
Ste 110
Evanston, IL 60202

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": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1215775226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 MAIN ST APT 2",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602024918",
            "telephone_number": "773-800-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 DEMPSTER ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021003",
            "telephone_number": "773-800-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PODELL",
        "first_name": "DANA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, E-RYT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-08-20",
        "certification_date": "2024-07-16",
        "deactivation_date": "2024-07-29",
        "reactivation_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "IL",
            "license": "070025869",
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "IL",
            "license": "070025869",
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "IL",
            "license": "070025869",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": "070025869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.