DPT Holdings LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

DPT HOLDINGS LLC

Doing business as

Doctors of Physical Therapy

Practice address

3825 39TH Ave #110
Kenosha, WI 53144

Phone

(800) 974-4378

Fax

(630) 515-1536

NPI assigned

Sep 3, 2020

Last updated

Sep 3, 2020By 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

Cindy Sullivan

Title

Credentialing Specialist

Phone

(800) 974-4378

Specialties & licenses 1

Addresses

Other names 1

• Doctors of Physical Therapy Doing business as

Locations

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

{
    "created_epoch": "1599091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599091200000",
    "number": "1902410202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24014 W RENWICK RD STE F",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605448708",
            "telephone_number": "800-974-4378",
            "fax_number": "630-515-1536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 39TH AVE #110",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "53144",
            "telephone_number": "800-974-4378",
            "fax_number": "630-515-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DPT HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-03",
        "last_updated": "2020-09-03",
        "certification_date": "2020-08-28",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "800-974-4378"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Doctors of Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica L Dorner, LPC
• Sarah Ann Dosemagen, PTA
• Cina Zsonvielle Douglas, PTA
• Angela Marie Downs, LPC-IT
• DPT Holdings LLC (Doctors of Physical Therapy)
• Dr Adilakshmi Kaza MD LLC
• Dr Thomas J Solecki Jr SC (Sports & Family Chiropractic Clinic)
• Dr. Birute Balciunas
• Dr. Carlton L Donowa DDS LLC
• Dr. Rand Lee, SC

• Occupational Therapist in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Occupational Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; 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.