Organization Active NPI

Community Physical Therapy & Assoc LTD

  • Orthopedic Physical Therapist
  • Addison, IL
National Provider Identifier
1285731547
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
COMMUNITY PHYSICAL THERAPY & ASSOC LTD
Practice address
2171 W Executive Dr
Suite 450
Addison, IL 60101-5625
Phone
(630) 282-5588
Fax
(630) 282-5587
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Authorized official

Name
Mr. Robert Tripicchio, PT D.SC.
Title
President
Phone
(630) 766-0505

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251G0304X
Hand Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251H1200X
Neurology Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251N0400X
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X
Sports Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251S0007X
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X Primary
Physical Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 225200000X

Addresses

Primary practice location

2171 W Executive Dr
Suite 450
Addison, IL 60101-5625

Mailing address

2171 W Executive Dr
Suite 500
Addison, IL 60101-5625
Phone (630) 282-5588

Other identifiers 1

IdentifierTypeStateIssuer
01683361OtherILBLUE CROSS/BLUE SHIELD

Other names 1

  • Community Physical Therapy & Associates., LTD Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070824000097 IL Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 7416866520 Practice locations: Addison, IL

Outpatient physical therapy / speech pathology certification: CCN 146546

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
COMMUNITY PHYSICAL THERAPY & ASSOC LTD
Certification status
Active
Provider type (POS)
Outpatient physical therapy / speech pathology
Participating since
Jan 3, 1980
Last certification
Jan 21, 2026
Ownership / control type
Proprietary
Facility address
2171 W Executive Drive Suite 450
Addison, IL 60101

National Provider Directory

National Provider Directory

Locations

2171 W Executive Dr
Ste 500
Addison, IL 60101
Phone (630) 766-0505

750 Fletcher Dr
#105
Elgin, IL 60123
Phone (847) 888-9210

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476748800000",
    "number": "1285731547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2171 W EXECUTIVE DR",
            "address_2": "SUITE 500",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601015625",
            "telephone_number": "630-282-5588",
            "fax_number": "630-282-5587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2171 W EXECUTIVE DR",
            "address_2": "SUITE 450",
            "city": "ADDISON",
            "state": "IL",
            "postal_code": "601015625",
            "telephone_number": "630-282-5588",
            "fax_number": "630-282-5587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY PHYSICAL THERAPY & ASSOC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-10-18",
        "status": "A",
        "authorized_official_last_name": "TRIPICCHIO",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-766-0505",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT D.SC."
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Geriatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251H1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Neurology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "01683361",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Physical Therapy & Associates., LTD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Addison, IL

Sources for this page

Verify at the official NPI Registry.