Active NPI
The Sports Medicine & Rehabilitation Institute P.C.
- Physical Therapist
- Naperville, IL
National Provider Identifier
1316989684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 060007208
- Legal business name
- THE SPORTS MEDICINE & REHABILITATION INSTITUTE P.C.
- Practice address
- 5024 Ace LN
Suite 120
Naperville, IL 60564-8102 - Phone
- (630) 904-5530
- Fax
- (630) 904-5580
- NPI assigned
- Jun 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. John Patrick Chapman, MS PT OCS ATCL
- Title
- Physical Therapist
- Phone
- (630) 904-5530
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 060007208 | IL | Primary |
Addresses
Primary practice location
5024 Ace LN
Suite 120
Naperville, IL 60564-8102
Mailing address
PO Box 5670
Naperville, IL 60567-5670
Phone (630) 904-5530
Other names 1
- SRI Physical Therapy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5024 Ace Ln
Ste 120
Naperville, IL 60564
Phone (630) 904-5530
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Naperville, IL
- NPI 1013055243
-
- Physical Therapist
- Bolingbrook, IL
- NPI 1992003974
-
- Physical Therapist
- Naperville, IL
- NPI 1992854228
-
- Physical Therapist
- Tampa, FL
- NPI 1174627731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1428537600000",
"number": "1316989684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5670",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605675670",
"telephone_number": "630-904-5530",
"fax_number": "630-904-5580"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5024 ACE LN",
"address_2": "SUITE 120",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605648102",
"telephone_number": "630-904-5530",
"fax_number": "630-904-5580"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE SPORTS MEDICINE & REHABILITATION INSTITUTE P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-12",
"last_updated": "2015-04-09",
"status": "A",
"authorized_official_last_name": "CHAPMAN",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "PATRICK",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "630-904-5530",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MS PT OCS ATCL"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "IL",
"license": "060007208",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "SRI Physical Therapy",
"code": "3",
"type": "Doing Business As"
}
]
}
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- Samantha Thein, LSA, CADC
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.