Sportho Physical and Aquatic Therapy, LLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

SPORTHO PHYSICAL AND AQUATIC THERAPY, LLC

Practice address

6921 W Archer Ave
Chicago, IL 60638-2319

Phone

(773) 586-2768

Fax

(773) 586-2780

NPI assigned

Nov 16, 2005

Organization subpart

No

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

Authorized official

Name

Mr. William A Capraro III

Title

Business Manager

Phone

(773) 586-2768

Specialties & licenses 1

Addresses

Other names 1

• Fyzical Therapy and Balance Centers-Chicago Doing business as

Locations

Practitioners 2

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

• Candy Nara Nishimura, P.T.

  • Physical Therapist
  • Chicago, IL
  • NPI 1043544257
  NPD (past)
• Divya Raghavan, PT

  • Physical Therapist
  • Sunnyvale, CA
  • NPI 1467706598
  NPD (past)

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586217600000",
    "number": "1437131497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6921 W ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382319",
            "telephone_number": "773-586-2768",
            "fax_number": "773-586-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6921 W ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382319",
            "telephone_number": "773-586-2768",
            "fax_number": "773-586-2780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5764 S Archer Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606381643",
            "country_code": "US",
            "telephone_number": "773-284-0888",
            "fax_number": "773-284-0880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4255 W 63rd St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606295041",
            "country_code": "US",
            "telephone_number": "773-498-3440",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7222 W Cermak Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "North Riverside",
            "state": "IL",
            "postal_code": "605461443",
            "country_code": "US",
            "telephone_number": "708-442-2225",
            "fax_number": "708-442-2227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SPORTHO PHYSICAL AND AQUATIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-16",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A",
        "authorized_official_last_name": "CAPRARO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "773-586-2768",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fyzical Therapy and Balance Centers-Chicago",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Spoken Word Therapy, LLC
• Alexandra Nicole Spooner
• Laura Spooner, LCSW
• Madeline Sporina
• Peter Sporn, M.D.
• Sports and Ortho P.C
• Sports Nutritionally, PLLC
• Camille Sposato
• Spot It All Therapy Inc
• Spot It All Therapy Inc

• Orthopedic Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Orthopedic Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 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.