Kyle Dodge, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070022331 Issued in IL

Practice address

19843 Wolf Rd
Mokena, IL 60448-1315

Phone

(708) 479-0320

NPI assigned

May 12, 2016

Last updated

Jul 21, 2022By the provider in NPPES

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dodge Therapy LLCGroup PAC ID 6901295930, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dodge Therapy LLC

  dba Fyzical Therapy and Balance Centers

  • Physical Therapist
  • Lockport, IL
  • NPI 1083297196
  Medicare reassignment Care Compare group NPD Authorized official
• Athletico LTD

  dba Athletico Physical Therapy

  • Physical Therapist
  • Oak Brook, IL
  • NPI 1821085028
  Medicare reassignment NPD
• Anywhere Clinic LLC

  dba Calm Clinic

  • Psychiatry Physician
  • Las Vegas, NV
  • NPI 1316460850
  NPD
• Athletico LTD

  dba Athletico Physical Therapy

  • Clinic/Center
  • Lafayette, IN
  • NPI 1053044867

  Physical Therapist

  NPD

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

{
    "created_epoch": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1720434467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 ENTERPRISE DR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605238813",
            "telephone_number": "630-575-1940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19843 WOLF RD",
            "city": "MOKENA",
            "state": "IL",
            "postal_code": "604481315",
            "telephone_number": "708-479-0320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21022 S LaGrange Rd",
            "address_purpose": "LOCATION",
            "city": "Frankfort",
            "state": "IL",
            "postal_code": "604232004",
            "country_code": "US",
            "telephone_number": "815-464-1100",
            "fax_number": "815-464-1130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DODGE",
        "first_name": "KYLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070022331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nichole Marie Dimaria, FNP
• Joseph Romero Dimatulac, PTA
• Jessica Dineen, RSA
• Emili Marie Dobronics, DDS
• Lana Dobson
• Katherine F Dolph
• Aileen Mae Donausky, MD
• Melissa B Doogan, LPC
• Rita Marie Doveri, M.S.
• Courtney Erin Doyle, MOT, OTR/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.