NPIMap

Individual provider Active NPI

Mark A Kaufman, PT, ATC

  • Physical Therapist
  • Oak Brook, IL
National Provider Identifier
1730148776
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
625 Enterprise Dr
Oak Brook, IL 60523-8813
Phone
(630) 575-6200
Fax
(630) 575-7400
NPI assigned
Mar 20, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 IL Primary

Addresses

Primary practice location

625 Enterprise Dr
Oak Brook, IL 60523-8813

Mailing address

625 Enterprise Dr
Oak Brook, IL 60523-8813
Phone (630) 575-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
070-006079ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pivot Physical Therapy of Pennsylvania, LLC Physical Therapist Current Accepting new patients
Pivot Physical Therapy of Pennsylvania, LLC Physical Therapist Current Accepting new patients
Accelerated Rehabilitation Center of Kenosha LTD Physical Therapist PastSince Mar 25, 2015 Accepting new patients
Accelerated Rehabilitation Centers, LTD Physical Therapist PastSince Mar 25, 2015 Accepting new patients
Noonan Physical Therapy & Associates Northwest, LLC Physical Therapist PastSince May 1, 2019 Accepting new patients
Sports Physical Therapy & Rehabilitation Specialists S.C. Physical Therapist PastSince Mar 25, 2015 Accepting new patients
Dynamic Therapy Services, LLC Physical Therapist PastSince Feb 15, 2022 Accepting new patients
Athletico LTD Physical Therapist PastSince Mar 25, 2015 Accepting new patients
Glen Burnie Physical Therapy & Sportscare, LLC Physical Therapist PastSince Feb 15, 2022 Accepting new patients
Georgialina Physical Therapy Associates LLC Physical Therapist PastSince Dec 14, 2021 Accepting new patients
Athletico LTD Physical Therapist PastSince Mar 25, 2015 Accepting new patients
Prorehab, PC PastSince Mar 25, 2015 Accepting new patients
Athletico Excel Nebraska, LLC Physical Therapist PastSince Oct 2, 2017 Accepting new patients

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1730148776",
    "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": "630-575-6200",
            "fax_number": "630-575-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 ENTERPRISE DR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605238813",
            "telephone_number": "630-575-6200",
            "fax_number": "630-575-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "MARK",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PT, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.