Spring Grove Physical Medicine and Rehabilatation LTD

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SPRING GROVE PHYSICAL MEDICINE AND REHABILATATION LTD

Practice address

2100 Route 12
Suite 101
Spring Grove, IL 60081

Phone

(815) 675-0675

NPI assigned

Jan 18, 2007

Last updated

Sep 11, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ralph Destephano Destephano

Title

President

Phone

(815) 675-0675

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

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.

• Jenny Robbins, PT

  • Physical Therapist
  • Spring Grove, IL
  • NPI 1306970132
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1851443618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 ROUTE 12",
            "address_2": "SUITE 101",
            "city": "SPRING GROVE",
            "state": "IL",
            "postal_code": "60081",
            "telephone_number": "815-675-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 ROUTE 12",
            "address_2": "SUITE 101",
            "city": "SPRING GROVE",
            "state": "IL",
            "postal_code": "60081",
            "telephone_number": "815-675-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING GROVE PHYSICAL MEDICINE AND REHABILATATION LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "DESTEPHANO",
        "authorized_official_first_name": "RALPH DESTEPHANO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-675-0675"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS NUMBER",
            "identifier": "05632013",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Rybicki, DDS
• Lynn Marie Schmidt, M.S.,CCC-SLP
• Amanda Shirley
• Spring Grove Fire Protection
• Spring Grove Medical Offices LTD
• Spring Grove Physical Therapy LTD
• Spring Grove Wellness
• Starlight Medical Inc
• Shelby Thompson, RD
• Shannon Patrice Tierney, DT

• Physical Therapist in Spring Grove, IL
• Providers in Spring Grove, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.