Individual provider Active NPI

Dawilda Lorenzo Reyes, DPT

  • Physical Therapist
  • Burbank, IL
National Provider Identifier
1629893318
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
7708 S Cicero Ave
Burbank, IL 60459-1583
Phone
(708) 741-5974
Fax
(708) 346-9623
NPI assigned
Nov 19, 2024
Last updated
Nov 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05015823A IN
Physical Therapist 225100000X IL Primary

Addresses

Primary practice location

7708 S Cicero Ave
Burbank, IL 60459-1583

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (866) 370-8206

Other practice location 1

1312 W Arch Haven Ave Ste E
Bloomington, IN 47403-2088
Phone (812) 336-8406

Other practice location 2

2650 Saint Matthews Rd
Orangeburg, SC 29118-1344
Phone (803) 536-5509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL, SC3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20241127002381 IN Practitioner - Physical Therapist in Private Practice 0648705616 Reassigns benefits to 1 organization
I20250121001675 IL Practitioner - Physical Therapist in Private Practice 0648705616 Reassigns benefits to 2 organizations
I20260217004504 SC Practitioner - Physical Therapist in Private Practice 0648705616 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCM Rehabilitation LLCGroup PAC ID 5294798336, 58 clinicians
Greenville Proaxis Therapy LLCGroup PAC ID 0244267771, 221 clinicians

Practice addresses (Care Compare)

1343 W Walnut Ave
Dalton, GA 30720-3857
Phone (706) 913-8201

14035 S Bell Rd
Homer Glen, IL 60491-8463
Phone (708) 845-0423

2650 Saint Matthews Rd
Orangeburg, SC 29118-1344
Phone (803) 536-5509

7708 S Cicero Ave
Burbank, IL 60459-1583
Phone (708) 741-5974

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13120SCMDPharmacist
05015823AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic and Therapeutic Institute of Naperville LLC Physical Therapist CurrentSince Jan 6, 2025 Accepting new patients
Athletic & Therapeutic Institute of Bourbonnais, LLC Physical Therapist CurrentSince May 5, 2025 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Jan 6, 2025 Accepting new patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Physical Therapist CurrentSince May 5, 2025 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Dec 9, 2024 Accepting new patients
Greenville Proaxis Therapy, LLC Physical Therapist CurrentSince Jan 5, 2026 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Dec 9, 2024 Accepting new patients
Greenville Proaxis Therapy LLC CurrentSince Jan 5, 2026 Accepting new patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Physical Therapist Current Accepting new patients

Locations

383 W Army Trail Rd
Ste 100
Bloomingdale, IL 60108
Phone (630) 924-0367

1275 N Convent St
Ste 3
Bourbonnais, IL 60914
Phone (815) 936-1855

7708 S Cicero Ave
Burbank, IL 60459
Phone (708) 741-5974

33205 Collection Ctr Dr
Chicago, IL 60693

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515

800 Des Plaines Ave
Forest Park, IL 60130
Phone (708) 366-2442

14035 S Bell Rd
Homer Glen, IL 60491
Phone (708) 645-0423

2081 Ridge Rd
Ste 101
Minooka, IL 60447
Phone (815) 467-1612

2325 W Monroe St
Springfield, IL 62704
Phone (217) 241-0270

967 N Green Bay Rd
Waukegan, IL 60085
Phone (224) 321-5237

109 W Geneva Rd
Wheaton, IL 60187
Phone (630) 784-3251

0S050 Winfield Rd
Ste 120
Winfield, IL 60190
Phone (630) 653-4743

1312 W Arch Haven Ave
Ste E
Bloomington, IN 47403
Phone (812) 336-8406

5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579

103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753

2650 Saint Matthews Rd
Orangeburg, SC 29118
Phone (803) 536-5509

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1629893318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 BUTTERFIELD RD STE 1600",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151211",
            "telephone_number": "866-370-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7708 S CICERO AVE",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604591583",
            "telephone_number": "708-741-5974",
            "fax_number": "708-346-9623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1312 W Arch Haven Ave Ste E",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474032088",
            "country_code": "US",
            "telephone_number": "812-336-8406",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2650 Saint Matthews Rd",
            "address_purpose": "LOCATION",
            "city": "Orangeburg",
            "state": "SC",
            "postal_code": "291181344",
            "country_code": "US",
            "telephone_number": "803-536-5509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LORENZO REYES",
        "first_name": "DAWILDA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-19",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05015823A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.