NPIMap

Organization Active NPI

Outlier Physical Therapy, LLC

Doing business as Rally PT, LLC

  • Physical Therapist
  • Highland Park, IL
National Provider Identifier
1720594484
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070022565 Issued in IL
Legal business name
OUTLIER PHYSICAL THERAPY, LLC
Doing business as
Rally PT, LLC
Practice address
1781 Saint Johns Ave
Highland Park, IL 60035-3532
Phone
(847) 452-4066
NPI assigned
Dec 18, 2017
Last updated
Nov 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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

Authorized official

Name
Dr. Kathleen Blankshain, PT, DPTNPI 1215383146
Title
Physical Therapist, Owner
Phone
(847) 452-4066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070022565 IL Primary

Addresses

Primary practice location

1781 Saint Johns Ave
Highland Park, IL 60035-3532

Mailing address

1781 Tudor LN Unit 306
Northbrook, IL 60062-3780

Other practice location 1

5553 N Clark St Unit 101
Chicago, IL 60640-1244
Phone (847) 452-4066

Other names 1

  • Rally PT, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

151 S Pfingsten Rd
Ste U
Deerfield, IL 60015

1781 Saint Johns Ave
Highland Park, IL 60035
Phone (630) 661-9102

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1513555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1720594484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 TUDOR LN UNIT 306",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600623780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 SAINT JOHNS AVE",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353532",
            "telephone_number": "847-452-4066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5553 N Clark St Unit 101",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606401244",
            "country_code": "US",
            "telephone_number": "847-452-4066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OUTLIER PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-18",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A",
        "authorized_official_last_name": "BLANKSHAIN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "847-452-4066",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070022565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rally PT, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.