Danielle M Adolph, DPT
Individual provider Active NPI Physical Therapist · Minooka, IL
NPI 1295929396 · NPPES record last updated Aug 13, 2014
Key facts
- NPI
- 1295929396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070-015921 (IL)
- Practice address
- 2081 Ridge Rd
Suite 101
Minooka, IL 60447-8848 - Phone
- (815) 467-1612
- NPI assigned
- Aug 31, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-015921 | IL | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070-015921 | IL | Yes |
Addresses
Primary practice location
2081 Ridge Rd
Suite 101
Minooka, IL 60447-8848
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01048510 | Other | IL | MEDICARE RAILROAD |
| P01328076 | Other | IL | RAILROAD MEDICARE |
Other names
- Danielle M Devicchio
Other providers in Minooka, IL
- Gina M Abbeduto
- Able Chiropractic, LLC
- Ashley Adams
- Alliance Rehab and Wellness
- American Drug Stores LLC
- Athletic & Therapeutic Institute of Bourbonnais, LLC
- Nicole Aulet
- Ruth Bass
All providers in Minooka, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.