Orthosport Physical Therapy

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

70015125 Issued in IL

Legal business name

ORTHOSPORT PHYSICAL THERAPY

Practice address

313 N Weber Rd
Bolingbrook, IL 60490-1569

Phone

(630) 771-0582

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ryan Colin Albert, PT, DPT

Title

Physical Therapist

Phone

(630) 961-3127

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598988271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 HONEST PLEASURE DR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605407622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 N WEBER RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604901569",
            "telephone_number": "630-771-0582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOSPORT PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALBERT",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "COLIN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "630-961-3127",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": "70015125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Oliver
• Omega Therapy Services, Inc
• Anthony Ikechukwu Onakorame
• One Counseling LLC
• Debra Ruth Onvejiaka, DPM
• Jennifer Ortiz, RPH
• Osafo Health Care Clinic Inc
• Seth Osafo, M.D.
• Zane P. Osborne, M.D.
• Danielle M Osterman

• Physical Therapy Clinic/Center in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.