Active NPI
Lori Diamos, PT
- Physical Therapist
- Park Ridge, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-009333
- Practice address
- 800 Devon Ave
Suite 125
Park Ridge, IL 60068-4760 - Phone
- (847) 292-4710
- Fax
- (847) 292-4903
- NPI assigned
- May 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070-009333 | IL | Primary |
Addresses
Primary practice location
800 Devon Ave
Suite 125
Park Ridge, IL 60068-4760
Mailing address
625 Enterprise Dr
Oak Brook, IL 60523-8813
Phone (630) 575-6200
Other names 1
- Lori Wloch
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-009333 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports and Ortho P.C | Current | Accepting new patients | |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| PT Pearls, LLC | Current | Accepting new patients | |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Illinois Bone and Joint Institute | Past | Accepting new patients |
Locations
412 W 31st St
Chicago, IL 60616
Phone (312) 225-3119
2747 Pfingsten Rd
Glenview, IL 60026
Phone (224) 282-8133
280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219
625 Enterprise Dr
Oak Brook, IL 60523
Phone (630) 575-6250
320 Busse Hwy
Park Ridge, IL 60068
Phone (847) 268-0800
800 W Devon Ave
Park Ridge, IL 60068
Phone (847) 292-4710
722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088
Interoperability endpoints
- https://app.meldrx.com/api/fhir/Freedom_IBJI
- https://epicproxy.et1195.epichosted.com/fhirproxy/api/FHIR/R4/
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Oak Brook, IL
- NPI 1821085028
-
- Rehabilitation Clinic/Center
- Chicago, IL
- NPI 1871640565
-
- Physical Therapy Clinic/Center
- Chicago, IL
- NPI 1134718976
-
- Orthopaedic Surgery Physician
- Morton Grove, IL
- NPI 1144269051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1499904000000",
"number": "1962456954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 ENTERPRISE DR",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605238813",
"telephone_number": "630-575-6200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 DEVON AVE",
"address_2": "SUITE 125",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600684760",
"telephone_number": "847-292-4710",
"fax_number": "847-292-4903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIAMOS",
"first_name": "LORI",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-22",
"last_updated": "2017-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-009333",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LORI",
"last_name": "WLOCH",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2017; 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.