Individual provider Active NPI

Dena Lori Hartline, P.T.

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1306862982
Registry record updated Sep 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-006089 Issued in IL
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

Updated by the provider on Sep 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
070-006089ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hands-on Sports Medicine Limited Partnership Past Accepting new patients
Hands-on Sports Medicine Limited Partnership Physical Therapist PastSince Apr 30, 2003 Accepting new patients
DPT Holdings PLLC Physical Therapist PastSince Apr 1, 2022 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.

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.

Verify at the official NPI Registry.