Individual provider Active NPI

Ashley A Dunne, PT, DPT

  • Physical Therapist
  • Oak Lawn, IL
National Provider Identifier
1720375017
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070018660 Issued in IL
Practice address
10401 S Cicero Ave
Oak Lawn, IL 60453-5598
Phone
(708) 581-4810
Fax
(708) 540-6883
NPI assigned
Jul 7, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070018660 IL Primary

Addresses

Primary practice location

10401 S Cicero Ave
Oak Lawn, IL 60453-5598

Mailing address

PO Box 220
Westmont, IL 60559-0220
Phone (708) 590-6663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110819000254 IL Practitioner - Physical Therapist in Private Practice 4688844129 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Impact Physical Therapy, LLCGroup PAC ID 2466998398, 43 clinicians

Practice addresses (Care Compare)

10401 S Cicero Ave
Oak Lawn, IL 60453-5598
Phone (708) 581-4810

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070018660ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sports and Ortho P.C CurrentSince Jun 1, 2015 Accepting new patients
Ipt Management Services, Inc. Physical Therapist CurrentSince Mar 7, 2018 Accepting new patients
Impact Physical Therapy, LLC Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Brady, P.C. Physical Therapist PastSince Aug 1, 2012 Accepting new patients
Accelerated Rehabilitation Centers LTD Physical Therapist Past Accepting new patients

Locations

412 W 31st St
Chicago, IL 60616
Phone (312) 225-3119

1103 S State St
Ste 300
Chicago, IL 60605
Phone (312) 877-5101

10401 S Cicero Ave
Oak Lawn, IL 60453
Phone (708) 581-4810

10401 S Cicero Ave
Ste A
Oak Lawn, IL 60453
Phone (708) 581-4810

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1720375017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605590220",
            "telephone_number": "708-590-6663",
            "fax_number": "708-469-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 S CICERO AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535598",
            "telephone_number": "708-581-4810",
            "fax_number": "708-540-6883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNNE",
        "first_name": "ASHLEY",
        "middle_name": "A",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070018660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.