Fine Line Physio PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

FINE LINE PHYSIO PC

Practice address

713 W Devon Ave
Park Ridge, IL 60068-4764

Phone

(708) 612-3339

NPI assigned

Jul 16, 2022

Last updated

Feb 16, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ioannis Dimitrios Anastos, DPTNPI 1356075188

Title

President

Phone

(708) 612-3339

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ioannis Dimitrios Anastos, DPT

  • Physical Therapist
  • Park Ridge, IL
  • NPI 1356075188
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1657929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1538893367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 W DEVON AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684764",
            "telephone_number": "708-612-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "713 W DEVON AVE",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684764",
            "telephone_number": "708-612-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FINE LINE PHYSIO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "ANASTOS",
        "authorized_official_first_name": "IOANNIS",
        "authorized_official_middle_name": "DIMITRIOS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-612-3339",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Marie Figliulo, MD
• Justin Henry Arollado Figueroa, DO
• Anastasia Figura, D.O.
• Maureen Filantres, LCSW
• Matthew J Filippo, DO
• Barbara Fine
• Steven Jay Fineberg, M.D.
• Clark Finkelstein, MA, LPC, R-DMT
• Andrea Kristina Finnegan, MSW, LCSW
• Laura Finnelly, RN

• Physical Therapist in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.