Individual provider Active NPI

Daniela Rubio, DPT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1366276644
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.028502 Issued in IL
Practice address
2500 W Bradley PL Ste F
Chicago, IL 60618-4716
Phone
(773) 799-2795
Fax
(773) 799-2791
NPI assigned
Aug 28, 2024
Last updated
Aug 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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 070.028502 IL Primary

Addresses

Primary practice location

2500 W Bradley PL Ste F
Chicago, IL 60618-4716

Mailing address

210 Valley Dr
Lindenhurst, IL 60046-9219
Phone (224) 656-4435

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241125001271 IL Practitioner - Physical Therapist in Private Practice 2961937115 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fit Institute PCGroup PAC ID 3678982550, 8 clinicians

Practice addresses (Care Compare)

2500 W Bradley PL
Suite F
Chicago, IL 60618-4716
Phone (773) 799-2795

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.028502ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fit Institute PC Physical Therapist CurrentSince Sep 2, 2024 Accepting new patients
The Fit Institute PastSince Sep 1, 2024 Accepting new patients

Locations

2500 W Bradley Pl
Ste F
Chicago, IL 60618
Phone (773) 799-2795

701 N Milwaukee Ave
Ste 246B
Vernon Hills, IL 60061
Phone (773) 796-3069

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1366276644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 VALLEY DR",
            "city": "LINDENHURST",
            "state": "IL",
            "postal_code": "600469219",
            "telephone_number": "224-656-4435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 W BRADLEY PL STE F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606184716",
            "telephone_number": "773-799-2795",
            "fax_number": "773-799-2791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUBIO",
        "first_name": "DANIELA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.028502",
            "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 Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.