Organization Active NPI

The Sports Medicine & Rehabilitation Institute P.C.

  • Physical Therapist
  • Naperville, IL
National Provider Identifier
1316989684
Registry record updated Apr 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
060007208 Issued in IL
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

Updated by the provider on Apr 9, 2015

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 ATCLNPI 1013055243
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)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081230000576 IL Part B Supplier - Clinic/Group Practice 8224190152 Receives reassigned benefits from 2 practitioners
Practice locations: Aurora, IL; Naperville, IL

National Provider Directory

National Provider Directory

Locations

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.

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"
        }
    ]
}

Other providers in Naperville, IL

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.

Verify at the official NPI Registry.