Individual provider Active NPI

Sheryl Depakakibo, PT,DPT

  • Physical Therapist
  • Park Ridge, IL
National Provider Identifier
1508031345
Registry record updated Aug 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.014446 Issued in IL
Practice address
444 N Northwest Hwy
#202
Park Ridge, IL 60068-3263
Phone
(847) 268-0280
Fax
(847) 268-0283
NPI assigned
Apr 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2012

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 070.014446 IL Primary

Addresses

Primary practice location

444 N Northwest Hwy
#202
Park Ridge, IL 60068-3263

Mailing address

444 N Northwest Hwy
#202
Park Ridge, IL 60068-3263
Phone (847) 268-0280

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130128000041 IL Practitioner - Physical Therapist in Private Practice 3971757030 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kamin Physical Therapy, Inc.Group PAC ID 1355393141, 7 clinicians

Practice addresses (Care Compare)

444 N Northwest Hwy
Suite 145
Park Ridge, IL 60068-3275
Phone (847) 384-6804

Merit-based Incentive Payment System (MIPS)

Final score
90.43 of 100Reported as group
Quality
92.42
Improvement activities
40
Cost
72.83

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.014446ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Luna Care Physical Therapy LLC Physical Therapist CurrentSince Oct 23, 2024 Accepting new patients
Body Rise Physical Therapy Limited Liability Corporation Physical Therapist Current Accepting new patients
Fox Rehabilitation Services Il LLC Physical Therapist CurrentSince Jun 6, 2024 Accepting new patients
Kamin Physical Therapy, Inc. Physical Therapist CurrentSince Aug 28, 2025 Accepting new patients
Advanced Physical Therapy & Health Services LLC. Physical Therapist PastSince Mar 3, 2003 Accepting new patients
Rockford Psychiatric Medical Services, S.C. PastSince Jan 1, 2023 Accepting new patients

Locations

1755 Park St
Ste 200
Naperville, IL 60563
Phone (331) 244-0169

444 N Northwest Hwy
Ste 145
Park Ridge, IL 60068
Phone (847) 384-6804

7 Carnegie Plz
Cherry Hill, NJ 08003

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344988800000",
    "number": "1508031345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "444 N NORTHWEST HWY",
            "address_2": "#202",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683263",
            "telephone_number": "847-268-0280",
            "fax_number": "847-268-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 N NORTHWEST HWY",
            "address_2": "#202",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683263",
            "telephone_number": "847-268-0280",
            "fax_number": "847-268-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPAKAKIBO",
        "first_name": "SHERYL",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-23",
        "last_updated": "2012-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.014446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2012; 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.