DYNAMIC PHYSICAL THERAPY, INC. (NPI# 1316419278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316419278 |
| Entity Type | Organization |
| Organization Name | DYNAMIC PHYSICAL THERAPY, INC. |
| Other Organization Name | BODY GEARS - OAK PARK |
| Practice Address |
1049 Lake St Ste 201 Oak Park IL 60301-6708 |
| Mailing Address |
1110 Shawnee Rd Lima OH 45805-3529 |
| Practice Telephone | 7086076040 |
| Practice Fax Number | 8662213400 |
| Mailing Telephone | 4192216717 |
| Mailing Fax Number | 4192220507 |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2019-05-21 |
| Authorized Official Name | MR. BRAD C ROUSH (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 4192216712 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Body Gears | Doing Business As Name - Organization |
| Body Gears - Oak Park | Doing Business As Name - Organization |
| CORA Physical Therapy - Oak Park | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881166650 | Dynamic Physical Therapy, Inc. | Clinic/Center | 914 Greenbay Rd, Suite 202, Winnetka, IL 60093-1701 | 2018-12-18 |
| 1952873812 | Dynamic Physical Therapy, Inc. | Clinic/Center | 400 S County Farm Rd Ste 310, Wheaton, IL 60187-4547 | 2018-12-17 |
| 1891714077 | Dynamic Physical Therapy, Inc. | Clinic/Center | 211 N Clinton St Ste 2n, Chicago, IL 60661-1283 | 2006-07-19 |
| 1962974824 | Dynamic Physical Therapy, Inc. | Clinic/Center | 2316 N Clark St, Chicago, IL 60614-7760 | 2018-12-17 |
| Street Address |
1049 LAKE ST STE 201 |
| City | OAK PARK |
| State | IL |
| Zip Code | 60301-6708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194279703 | Katherine Albert | Physical Therapist | 1049 Lake St Ste 201, Oak Park, IL 60301-6708 | 2016-08-11 |
| 1093313439 | Christopher Michael Schmalz | Physical Therapist | 1049 Lake St Ste 201, Oak Park, IL 60301-6708 | 2020-10-16 |
| 1962052332 | Sean Phelan | Physical Therapist | 1049 Lake St Ste 201, Oak Park, IL 60301-6708 | 2019-09-17 |
| 1881198505 | Reid Etter | Chiropractor | 1049 Lake St Ste 201, Oak Park, IL 60301-6708 | 2018-03-19 |
| 1841737129 | Autumn Neuharth | Physical Therapist | 1049 Lake St Ste 201, Oak Park, IL 60301 | 2017-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457982332 | Heather Lea Corwin | Counselor | Blackbird Behavioral Health, 715 Lake Street, 4th Floor, Oak Park, IL 60301 | 2020-01-30 |
| 1194244400 | Kristin Burns Mind and Body | Clinic/Center | 715 Lake St Ste 703, Oak Park, IL 60301 | 2017-09-18 |
| 1538686357 | Highland Park Cvs LLC | Durable Medical Equipment & Medical Supplies | 1129 Lake St., Oak Park, IL 60301 | 2017-08-23 |
| 1851835888 | Wanda Secthecia Presley | Nurse's Aide | 1140 South Lake Street, Oak Park, IL 60301 | 2016-12-09 |
| 1477914323 | Naomi Elise Heinz | Occupational Therapist | 820 North Boulevard, Kids Unlimited Therapy Services, LLC, Oak Park, IL 60301 | 2016-03-18 |
| 1316339518 | Christina Shrader | Counselor | 137 N Oak Park Ave Ste 123, Oak Park, IL 60301 | 2015-02-24 |
| 1356755334 | Grief Recovery Group, Inc | Social Worker | 1010 Lake Street, Suite 620, Oak Park, IL 60301 | 2014-06-17 |
| 1700137239 | Christine Marie Hare | Nurse Practitioner | 1100 Lake St Ste 120, Oak Park, IL 60301 | 2012-09-24 |
| 1427334622 | Ina N. Owens | Social Worker | 137 N. Oak Park Ave, Oak Park, IL 60301 | 2011-11-01 |
| 1265720130 | Debora S Crowley | Occupational Therapist | 820 North Blvd., Oak Park, IL 60301 | 2011-07-13 |
| Find all providers in zip 60301 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124194022 | Physiotherapy Associates | Clinic/Center | 610 S Maple Ave Ste 3400, Oak Park, IL 60304-1094 | 2006-11-24 |
| 1316973746 | Integrity Physical Therapy, Inc. | Clinic/Center | 605 Madison St, Oak Park, IL 60302-4408 | 2006-06-25 |
| 1245844323 | Rci (wrs), LLC. | Clinic/Center | 605 Madison St, Oak Park, IL 60302-4408 | 2020-09-04 |
| 1912511171 | Rci (wrs), LLC. | Clinic/Center | 610 S Maple Ave Ste 3500, Oak Park, IL 60304-2801 | 2020-09-04 |
| 1932713096 | Rci (wrs), LLC. | Clinic/Center | 1114 Lake St, Oak Park, IL 60301-1002 | 2020-09-04 |
| 1902168446 | Direct Medical Care Pllc | Clinic/Center | 22150 Greenfield Rd, Suite 203b, Oak Park, MI 48237-2535 | 2012-06-11 |
| 1417095282 | Oak Park Rehabilitation Clinic Inc | Clinic/Center | 13855 W 9 Mile Rd, Suite A, Oak Park, MI 48237-2775 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386243020 | Select Physical Therapy Holdings, Inc. | Clinic/Center | 2500 Williamson County Pkwy, Suite B, Marion, IL 62959-5271 | 2020-10-23 |
| 1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
| 1093320855 | Rci (wrs), LLC. | Clinic/Center | 17 West 580 Butterfield Road, Oakbrook Terrace, IL 60181 | 2020-09-09 |
| 1558975706 | Rci (wrs), LLC. | Clinic/Center | 370 Bank Dr, Mchenry, IL 60050-0506 | 2020-09-04 |
| 1588278741 | Rci (wrs), LLC. | Clinic/Center | 1151 S State St, Chicago, IL 60605-2304 | 2020-09-04 |
| 1487268553 | Rci (wrs), LLC. | Clinic/Center | 15 Tower Ct Ste 235, Gurnee, IL 60031-3354 | 2020-09-04 |
| 1285248351 | Rci (wrs), LLC. | Clinic/Center | 884 S Rand Rd Ste A, Lake Zurich, IL 60047-3412 | 2020-09-04 |
| 1295349355 | Rci (wrs), LLC. | Clinic/Center | 140 N Addison Ave Fl 2, Elmhurst, IL 60126-2810 | 2020-09-04 |
| 1043824287 | Rci (wrs), LLC. | Clinic/Center | 1525 E 55th St Ste 305, Chicago, IL 60615-5576 | 2020-09-04 |
| 1396359469 | Rci (wrs), LLC. | Clinic/Center | 939 W North Ave Ste 300, Chicago, IL 60642-7139 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.