Active NPI
Dena Lori Hartline, P.T.
- Physical Therapist
- Chicago, IL
National Provider Identifier
1306862982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-006089
- Practice address
- 2828 North Clark Street
Suite 309 Metro Spine and Sports Rehab
Chicago, IL 60657 - Phone
- (773) 525-0190
- Fax
- (773) 525-0583
- NPI assigned
- Jul 15, 2006
- 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 | 070-006089 | IL | Primary |
Addresses
Primary practice location
2828 North Clark Street
Suite 309 Metro Spine and Sports Rehab
Chicago, IL 60657
Mailing address
2828 North Clark Street
Suite 309 Metro Spine and Sports Rehab
Chicago, IL 60657
Phone (773) 525-0190
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-006089 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hands-on Sports Medicine Limited Partnership | Past | Accepting new patients | |
| Hands-on Sports Medicine Limited Partnership | Physical Therapist | Past | Accepting new patients |
| DPT Holdings PLLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
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
- Plainfield, IL
- NPI 1689648602
-
- Physical Therapist
- Chicago, IL
- NPI 1649384785
-
- Durable Medical Equipment & Medical Supplies
- Chicago, IL
- NPI 1720293319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285804800000",
"number": "1306862982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2828 NORTH CLARK STREET",
"address_2": "SUITE 309 METRO SPINE AND SPORTS REHAB",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60657",
"telephone_number": "773-525-0190",
"fax_number": "773-525-0583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2828 NORTH CLARK STREET",
"address_2": "SUITE 309 METRO SPINE AND SPORTS REHAB",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60657",
"telephone_number": "773-525-0190",
"fax_number": "773-525-0583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARTLINE",
"first_name": "DENA",
"middle_name": "LORI",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-15",
"last_updated": "2010-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-006089",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.