Davis Hallberg, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.025561 Issued in IL

Practice address

205 N Wells St
Chicago, IL 60606-1301

Phone

(312) 957-8882

NPI assigned

Sep 30, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rci (WRS) LLCGroup PAC ID 5092624510, 325 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rci (WRS), LLC.

  dba RUSH Physical Therapy

  • Physical Therapy Clinic/Center
  • Mt Prospect, IL
  • NPI 1417561655

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Revolution PTWL LLC

  dba Revolution Physical Therapy Weight Loss

  • Physical Therapist
  • Chicago, IL
  • NPI 1164766606
  Medicare reassignment NPD
• Rci (WRS), LLC

  • Physical Therapy Clinic/Center
  • Mokena, IL
  • NPI 1568160950
  NPD
• Rci (WRS), LLC.

  dba RUSH Physical Therapy

  • Rehabilitation Clinic/Center
  • McHenry, IL
  • NPI 1558975706
  NPD

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1568079861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 W BLACKHAWK ST APT 716",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606422572",
            "telephone_number": "916-690-3423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 N WELLS ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606061301",
            "telephone_number": "312-957-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLBERG",
        "first_name": "DAVIS",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-30",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.025561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nadia Hallak, PSYD.
• Patrick Elie Hallak, M.D
• Erin L Hallar, APN-CRNA
• Matthew Hallas, DMD
• Elizabeth Marie Hallau, PA-C
• Heather Lynn Hallberg, D.T.
• James Hallberg, LCSW, CADC
• Michael McKinley Hallberg, M.D.
• Kathryn Lyall Halldin, PA
• Jameson Halleen

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.