Active NPI
Dynamic Ease LLC
- Physical Therapy Clinic/Center
- Chicago, IL
National Provider Identifier
1487775599
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 070009968
- Legal business name
- DYNAMIC EASE LLC
- Practice address
- 3424 N Damen Ave
Chicago, IL 60618-6106 - Phone
- (773) 248-2288
- Fax
- (773) 248-2282
- NPI assigned
- Apr 3, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kerry Anne Dontchos, PT
- Title
- Owner
- Phone
- (773) 248-2288
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 070009968 | IL | Primary |
Addresses
Primary practice location
3424 N Damen Ave
Chicago, IL 60618-6106
Mailing address
3424 N Damen Ave
Chicago, IL 60618-6106
Phone (773) 248-2288
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01635524 | Other | IL | BCBS PROVIDER NUMBER |
National Provider Directory
National Provider DirectoryLocations
3424 N Damen Ave
Chicago, IL 60618
Phone (773) 248-2288
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Chicago, IL
- NPI 1245351360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1313020800000",
"number": "1487775599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3424 N DAMEN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606186106",
"telephone_number": "773-248-2288",
"fax_number": "773-248-2282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3424 N DAMEN AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606186106",
"telephone_number": "773-248-2288",
"fax_number": "773-248-2282"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DYNAMIC EASE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-03",
"last_updated": "2011-08-11",
"status": "A",
"authorized_official_last_name": "DONTCHOS",
"authorized_official_first_name": "KERRY",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "773-248-2288",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "IL",
"license": "070009968",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NUMBER",
"identifier": "01635524",
"state": "IL"
}
],
"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 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.