Organization Active NPI

Eclipse Sports Rehab and Performance

  • Sports Physical Therapist
  • Chicago, IL
National Provider Identifier
1922999655
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
Legal business name
ECLIPSE SPORTS REHAB AND PERFORMANCE
Practice address
108 N State St
FL 4
Chicago, IL 60602
Phone
(574) 303-8988
NPI assigned
Jul 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Authorized official

Name
Kevin Ackermann, PT, DPTNPI 1932986437
Title
Physical Therapist / Owner
Phone
(574) 303-8988

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251S0007X Primary

Addresses

Primary practice location

108 N State St
FL 4
Chicago, IL 60602

Mailing address

1638 N Marshfield Ave Apt 2F
Chicago, IL 60622-1430
Phone (574) 303-8988

National Provider Directory

National Provider Directory

Locations

108 N State St
Ste 4
Chicago, IL 60602
Phone (574) 303-8988

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1752192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752192000000",
    "number": "1922999655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1638 N MARSHFIELD AVE APT 2F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221430",
            "telephone_number": "574-303-8988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 N STATE ST",
            "address_2": "FL 4",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60602",
            "telephone_number": "574-303-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECLIPSE SPORTS REHAB AND PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-11",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A",
        "authorized_official_last_name": "ACKERMANN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST / OWNER",
        "authorized_official_telephone_number": "574-303-8988",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jul 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.