Sports and Ortho P.C

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

SPORTS AND ORTHO P.C

Practice address

412 W 31St St
Chicago, IL 60616-3116

Phone

(312) 225-3119

Fax

(312) 225-3219

NPI assigned

Jan 4, 2007

Last updated

Dec 24, 2023By 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

Dahlia Fahmy, PTNPI 1104973841

Title

President/Owner

Phone

(312) 375-5354

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 90

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.

• Dahlia Fahmy, PT

  • Physical Therapist
  • Chicago, IL
  • NPI 1104973841
  Medicare reassignment Care Compare group NPD Authorized official
• Lauren Ashley Aguirre, PT, DPT

  • Physical Therapist
  • Chicago, IL
  • NPI 1952043119
  Medicare reassignment Care Compare group NPD
• Maricris Shereen Almaria, PT, DPT

  • Physical Therapist
  • Glenview, IL
  • NPI 1629958608
  Medicare reassignment Care Compare group NPD
• Vanya Therese Yap Balagtas, PT

  • Physical Therapist
  • Skokie, IL
  • NPI 1588336275
  Medicare reassignment Care Compare group NPD
• Sean Bering, PT, DPT

  • Physical Therapist
  • Chicago, IL
  • NPI 1689547879
  Medicare reassignment Care Compare group NPD
• Marianne Durkin

  • Physical Therapist
  • Chicago, IL
  • NPI 1023989845
  Medicare reassignment Care Compare group NPD
• Elizabeth Grobbel, DPT

  • Physical Therapist
  • Chicago, IL
  • NPI 1710773494
  Medicare reassignment Care Compare group NPD
• Brenda Guan, PT,DPT

  • Physical Medicine & Rehabilitation Physician
  • Evanston, IL
  • NPI 1710668736
  Medicare reassignment Care Compare group NPD
• Alyssa Harkema

  • Physical Therapist
  • Countryside, IL
  • NPI 1952860884
  Medicare reassignment Care Compare group NPD
• Daria Lending, OTR/L

  • Occupational Therapist
  • Evanston, IL
  • NPI 1134090418
  Medicare reassignment Care Compare group NPD
• Thomas McCormack, PT

  • Physical Therapist
  • Chicago, IL
  • NPI 1194985358
  Medicare reassignment Care Compare group NPD
• Alyssa Meverden

  • Physical Therapist
  • Evanston, IL
  • NPI 1275426017
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703376000000",
    "number": "1871640565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 W 31ST ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606163116",
            "telephone_number": "312-225-3119",
            "fax_number": "312-225-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 W 31ST ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606163116",
            "telephone_number": "312-225-3119",
            "fax_number": "312-225-3219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTS AND ORTHO P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2023-12-24",
        "certification_date": "2023-12-24",
        "status": "A",
        "authorized_official_last_name": "FAHMY",
        "authorized_official_first_name": "DAHLIA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "312-375-5354",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "01633349",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexandra Nicole Spooner
• Laura Spooner, LCSW
• Madeline Sporina
• Peter Sporn, M.D.
• Sportho Physical and Aquatic Therapy, LLC (Fyzical Therapy and Balance Centers-Chicago)
• Sports Nutritionally, PLLC
• Camille Sposato
• Spot It All Therapy Inc
• Spot It All Therapy Inc
• Spotlight Therapeutic, LTD

• Rehabilitation Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.