On Small Feet, PC

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

Legal business name

ON SMALL FEET, PC

Practice address

6N406 Baker Dr
Itasca, IL 60143-1936

Phone

(847) 917-5210

Fax

(847) 481-0232

NPI assigned

Sep 17, 2006

Last updated

May 28, 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

Elizabeth Pondel-Petropoulos, PT

Title

President

Phone

(847) 917-5210

Specialties & licenses 1

Addresses

Other identifiers 2

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.

• Elizabeth Petropoulos, PT

  • Pediatric Physical Therapist
  • Itasca, IL
  • NPI 1104955277

  Pediatrics

  NPD

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

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1871690446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6N406 BAKER DR",
            "city": "ITASCA",
            "state": "IL",
            "postal_code": "601431936",
            "telephone_number": "847-917-5210",
            "fax_number": "847-481-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6N406 BAKER DR",
            "city": "ITASCA",
            "state": "IL",
            "postal_code": "601431936",
            "telephone_number": "847-917-5210",
            "fax_number": "847-481-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ON SMALL FEET, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-17",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "PONDEL-PETROPOULOS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-917-5210",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0004532188",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007153719",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Physical Therapist in Itasca, IL
• Providers in Itasca, IL by specialty
• Pediatric Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.