NPIMap

Organization Active NPI

Dynamic Physical Therapy

  • Physical Therapist
  • Westmont, IL
National Provider Identifier
1326294349
Registry record updated Aug 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.008757 Issued in IL
Legal business name
DYNAMIC PHYSICAL THERAPY
Practice address
25 N Cass Ave
Westmont, IL 60559-1601
Phone
(630) 615-9170
Fax
(630) 493-0995
NPI assigned
Aug 11, 2008
Organization subpart
Yes
Parent organization
DYNAMIC PHYSICAL THERAPY MANAGEMENT SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 11, 2008

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

Authorized official

Name
Robin L Powers
Title
Director of Finance
Phone
(630) 876-9186

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 070.008757 IL Primary

Addresses

Primary practice location

25 N Cass Ave
Westmont, IL 60559-1601

Mailing address

440 E Roosevelt Rd
Unit 104
West Chicago, IL 60185-3902
Phone (630) 876-9186

National Provider Directory

National Provider Directory
Part of
Dynamic Physical Therapy Management Services

Locations

25 N Cass Ave
Westmont, IL 60559
Phone (630) 615-9170

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1218412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218412800000",
    "number": "1326294349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 E ROOSEVELT RD",
            "address_2": "UNIT 104",
            "city": "WEST CHICAGO",
            "state": "IL",
            "postal_code": "601853902",
            "telephone_number": "630-876-9186",
            "fax_number": "630-876-9187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 N CASS AVE",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591601",
            "telephone_number": "630-615-9170",
            "fax_number": "630-493-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DYNAMIC PHYSICAL THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DYNAMIC PHYSICAL THERAPY MANAGEMENT SERVICES",
        "enumeration_date": "2008-08-11",
        "last_updated": "2008-08-11",
        "status": "A",
        "authorized_official_last_name": "POWERS",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "630-876-9186"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.008757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westmont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2008; 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.