Core Sport and Physical Therapy Downers Grove PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CORE SPORT AND PHYSICAL THERAPY DOWNERS GROVE PLLC

Practice address

5203 Thatcher Rd
Downers Grove, IL 60515-4027

Phone

(773) 307-7288

NPI assigned

Sep 15, 2025

Last updated

Sep 15, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Robert Waddell, DPTNPI 1184380792

Title

Physical Therapist and Co-Owner

Phone

(773) 307-7288

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Martin Waddell, PT

  • Physical Therapist
  • Oak Lawn, IL
  • NPI 1184380792
  NPD Authorized official

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1316818354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10224 S KEDZIE AVE STE C",
            "city": "EVERGREEN PARK",
            "state": "IL",
            "postal_code": "608053700",
            "telephone_number": "773-307-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5203 THATCHER RD",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605154027",
            "telephone_number": "773-307-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORE SPORT AND PHYSICAL THERAPY DOWNERS GROVE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-14",
        "status": "A",
        "authorized_official_last_name": "WADDELL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST AND CO-OWNER",
        "authorized_official_telephone_number": "773-307-7288",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Conrad
• Jessica N Conroy, OD
• Tracie Lynn Cook, NPC
• Kristin S Coons, DPT
• Weiser Eguia Cordero, M.D.
• Core1, Inc (CORE1Rehab)
• Susan Cornell, PHARMD, CDE
• Cornerstone Integrative Health
• Jeremy David Cornish, LAC.
• Franca Sofia Corrado

• Physical Therapist in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; 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.