Active NPI
Dpra Therapeutics LLC
- Physical Therapist
- Chicago, IL
National Provider Identifier
1639880552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- DPRA THERAPEUTICS LLC
- Practice address
- 3630 N Harlem Ave
Chicago, IL 60634-2792 - Phone
- (708) 638-6234
- NPI assigned
- Dec 12, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Grace Sheila Racadio
- Title
- Physical Therapist
- Phone
- (708) 638-6234
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
3630 N Harlem Ave
Chicago, IL 60634-2792
Mailing address
9422 Bay Colony Dr Apt 2W
Des Plaines, IL 60016-3634
Phone (708) 638-6234
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682899200000",
"number": "1639880552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9422 BAY COLONY DR APT 2W",
"city": "DES PLAINES",
"state": "IL",
"postal_code": "600163634",
"telephone_number": "708-638-6234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3630 N HARLEM AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606342792",
"telephone_number": "708-638-6234"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DPRA THERAPEUTICS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-12",
"last_updated": "2023-05-01",
"certification_date": "2023-05-01",
"status": "A",
"authorized_official_last_name": "RACADIO",
"authorized_official_first_name": "GRACE",
"authorized_official_middle_name": "SHEILA",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "708-638-6234"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"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 May 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.