Individual provider Active NPI

Thomas J Dyke, DPT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1811321995
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070020171 Issued in IL
Practice address
4323 W Irving Park Rd Ste 1a
Chicago, IL 60641-2828
Phone
(773) 930-3087
NPI assigned
Aug 26, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070020171 IL Primary
Physical Therapist 225100000X PT 60531867 WA

Addresses

Primary practice location

4323 W Irving Park Rd Ste 1a
Chicago, IL 60641-2828

Mailing address

4323 W Irving Park Rd Ste 1a
Chicago, IL 60641-2828
Phone (773) 930-3087

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131018001783 IL Practitioner - Physical Therapist in Private Practice 5991930398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physio Chicago PLLCGroup PAC ID 3072966696, 5 clinicians

Practice addresses (Care Compare)

4323 W Irving Park Rd
Suite 1a
Chicago, IL 60641-2828
Phone (773) 930-3087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT 60531867WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physio Chicago PLLC Physical Therapist CurrentSince Nov 13, 2023 Accepting new patients
Orthomidwest, PLLC Physical Therapist Past Accepting new patients
The Fit Institute PastSince May 1, 2021 Accepting new patients

Locations

4323 W Irving Park Rd
Ste 1A
Chicago, IL 60641
Phone (773) 726-9880

Organizations & group practices 3

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": "1377475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1811321995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4323 W IRVING PARK RD STE 1A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412828",
            "telephone_number": "773-930-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 W IRVING PARK RD STE 1A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412828",
            "telephone_number": "773-930-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYKE",
        "first_name": "THOMAS",
        "middle_name": "J",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-26",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070020171",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT 60531867",
            "primary": false
        }
    ],
    "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 Dec 20, 2023; 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.