Individual provider Active NPI

Frank Diliberto, MSPT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1508054453
Registry record updated Sep 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070015795 Issued in IL
Practice address
3130 N Lincoln Ave
Chicago, IL 60657-3117
Phone
(773) 525-5200
Fax
(773) 728-8719
NPI assigned
Oct 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2008

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 070015795 IL Primary

Addresses

Primary practice location

3130 N Lincoln Ave
Chicago, IL 60657-3117

Mailing address

3130 N Lincoln Ave
Chicago, IL 60657-3117
Phone (773) 525-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070015795ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifestyle Physical Therapy & Balance Center, PLLC Physical Therapist PastSince Aug 1, 2006 Accepting new patients
Presence Chicago Hospitals Network Past Accepting new patients
Achieve Orthopedic Rehabilitation Institute,Inc Physical Therapist PastSince Nov 26, 2002 Accepting new patients
South Suburban Open MRI of Orland, LLC Past Accepting new patients

Organizations & group practices 4

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": "1191456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221004800000",
    "number": "1508054453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573117",
            "telephone_number": "773-525-5200",
            "fax_number": "773-728-8719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3130 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573117",
            "telephone_number": "773-525-5200",
            "fax_number": "773-728-8719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILIBERTO",
        "first_name": "FRANK",
        "name_prefix": "Mr.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-04",
        "last_updated": "2008-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070015795",
            "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 Sep 10, 2008; 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.