Dupage Physical Therapy PC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

DUPAGE PHYSICAL THERAPY PC

Practice address

310 S County Farm Rd
Unit D
Wheaton, IL 60187

Phone

(630) 653-9995

Fax

(630) 653-9959

NPI assigned

Aug 15, 2006

Organization subpart

No

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

Authorized official

Name

Anita Demetra Panagiotis, MS PT

Title

President Owner

Phone

(630) 653-9995

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Kajtsa, P.T.

  • Physical Medicine & Rehabilitation Physician
  • Yorkville, IL
  • NPI 1336112218
  NPD (past)

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407869738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 S COUNTY FARM RD",
            "address_2": "UNIT D",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "60187",
            "telephone_number": "630-653-9995",
            "fax_number": "630-653-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S COUNTY FARM RD",
            "address_2": "UNIT D",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "60187",
            "telephone_number": "630-653-9995",
            "fax_number": "630-653-9959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUPAGE PHYSICAL THERAPY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PANAGIOTIS",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "DEMETRA",
        "authorized_official_title_or_position": "PRESIDENT  OWNER",
        "authorized_official_telephone_number": "630-653-9995",
        "authorized_official_credential": "MS PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7576630",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2220622",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "C16248",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dupage Medical Group, LTD.
• Dupage Medical Group, LTD.
• Dupage Mental Health Services, LTD.
• Dupage Neurosurgery SC
• Dupage Obstetrics and Gynecology, S.C.
• Dupage Surgical Consultants, LTD.
• Chandni Duphare, MD
• Caterina Duque Thoret
• Ciera Durr
• Karen Dvorak

• Physical Therapy Clinic/Center in Wheaton, IL
• Providers in Wheaton, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.