ACHIEVE ORTHOPEDIC SPORTS INSTITUTE, LLC (NPI# 1376066753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376066753 |
| Entity Type | Organization |
| Organization Name | ACHIEVE ORTHOPEDIC SPORTS INSTITUTE, LLC |
| Practice Address |
7055 High Grove Blvd Burr Ridge IL 60527-7628 |
| Mailing Address |
100 E Walton St Ste 700 Chicago IL 60611-1433 |
| Practice Telephone | 6303711623 |
| Practice Fax Number | 6303711546 |
| Mailing Telephone | 3126423963 |
| Mailing Fax Number | 3126423966 |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2018-04-24 |
| Authorized Official Name | GINA PONGETTI (OWNER/PHYSICAL THERAPIST) |
| Authorized Official Telephone | 3126423963 |
| Authorized Official Credential | PT, MPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 E Walton St Ste 700, Chicago, IL 606111433 | 3126423963 | 3126423966 |
| 1315 Macom Dr Ste 105, Naperville, IL 605649360 | 3312137247 | 3314575749 |
| 760 Pasquinelli Dr, Westmont, IL 605595564 | 6305683076 | 6305683192 |
| 7850 S Quincy St, Willowbrook, IL 605275534 | 6303711623 | 6303711546 |
| 850 Busse Hwy, Park Ridge, IL 600682302 | 8473848511 | 8473848513 |
| 9121 159th St Ste D&e, Orland Hills, IL 604875901 | 7084031155 | 0784031177 |
| Street Address |
7055 HIGH GROVE BLVD |
| City | BURR RIDGE |
| State | IL |
| Zip Code | 60527-7628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881691863 | Scott E Glaser | Anesthesiology | 7055 High Grove Blvd, Burr Ridge, IL 60527-7593 | 2005-07-05 |
| 1649807744 | Natalie Hassoun | Nurse Practitioner | 7055 High Grove Blvd, Burr Ridge, IL 60527-7628 | 2020-03-26 |
| 1457823544 | Theresa Scheerenberger | Nurse Practitioner | 7055 High Grove Blvd, Burr Ridge, IL 60527-7628 | 2018-12-30 |
| 1841760535 | Maria Anderson | Nurse Practitioner | 7055 High Grove Blvd, Burr Ridge, IL 60527-7628 | 2018-11-26 |
| 1669952560 | James Tan | Physical Therapist | 7055 High Grove Blvd, Burr Ridge, IL 60527-7628 | 2018-08-20 |
| 1851800783 | Christine Davis | Physical Therapist | 7055 High Grove Blvd, Burr Ridge, IL 60527-7628 | 2017-09-22 |
| 1710335237 | Nicole Grace Ellis | Physical Therapist | 7055 High Grove Blvd, Burr Ridge, IL 60527-7628 | 2016-05-25 |
| 1477974525 | Margarita Kos | Nurse Practitioner | 7055 High Grove Blvd, Burr Ridge, IL 60527-7593 | 2013-12-16 |
| 1194160432 | Alexis Lerch | Nurse Practitioner | 7055 High Grove Blvd, Burr Ridge, IL 60527-7593 | 2013-04-30 |
| 1912280595 | Pain and Rehab Specialists of Greater Chicago, LLC | Anesthesiology | 7055 High Grove Blvd, Burr Ridge, IL 60527 | 2011-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023635364 | Crystal Mary Dirks | Occupational Therapy Assistant | 211 75th St, Burr Ridge, IL 60527 | 2020-07-02 |
| 1386276350 | Valerie Moreno-tucker | Counselor | 277 83rd St, Burr Ridge, Il 60527, Burr Ridge, IL 60527 | 2020-02-07 |
| 1831734763 | Annette Maria Zajac | Occupational Therapist | 16 91st St., Burr Ridge, IL 60527 | 2019-11-14 |
| 1568023109 | Jennifer Rogers | Counselor | 277 83rd St., Ste. D, Burr Ridge, IL 60527 | 2019-06-25 |
| 1710458526 | Dima Sibai Dds PC | Clinic/Center | 940 Plianfield Rd., Willowbrook, IL 60527 | 2018-12-06 |
| 1558850495 | Jeanie C. Lucy PC | Optometrist | 6340 Americana Drive Suite 1108, Willowbrook, IL 60527 | 2018-05-07 |
| 1538664032 | Athletico,ltd | Physical Therapist | 6860 N Frontage Rd Ste B, Burr Ridge, IL 60527 | 2018-03-27 |
| 1003314832 | Ams Wellness Pllc | Psychologist | 277 83rd St Ste D, Burr Ridge, IL 60527 | 2018-01-26 |
| 1023564671 | Natasa Manasovska | Dentist | 6111 Knollwood Rd, Apt. 103, Willowbrook, IL 60527 | 2016-09-01 |
| 1669927893 | Marie Ann Korallus | Nurse Practitioner | 7055 High Grove, Burr Ridge, IL 60527 | 2016-08-17 |
| Find all providers in zip 60527 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073021333 | Alpha Physical Therapy Inc. | Clinic/Center | 3 Tori Ct, Burr Ridge, IL 60527-6392 | 2018-01-19 |
| 1023564085 | Leonard Wanta Sc | Clinic/Center | 126 Circle Ridge Dr, Burr Ridge, IL 60527-8379 | 2016-08-30 |
| 1114350980 | Dpt Sport PC | Clinic/Center | 6101 S County Line Rd, Suite # 57, Burr Ridge, IL 60527-8132 | 2013-08-16 |
| 1225341688 | Integrity Physical Therapy | Clinic/Center | 6901 S Madison St, Burr Ridge, IL 60527-5595 | 2010-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790336 | Priority You Physical Therapy and Wellness, Pllc | Clinic/Center | 20660 Caton Farm Rd., Unit A, Crest Hills, IL 60403 | 2020-11-03 |
| 1487253464 | Chimera Health Pllc | Clinic/Center | 525 N Ada St Apt 10, Chicago, IL 60642-6486 | 2020-10-21 |
| 1528666468 | Chicago Pelvic Health and Wellness, LLC | Clinic/Center | 1020 E Ogden Ave Ste 309, Naperville, IL 60563-8611 | 2020-10-13 |
| 1548876063 | Midwest Orthopaedics At Rush, LLC | Clinic/Center | 1000 Commerce Court, Suite 101, Bensenville, IL 60106 | 2020-09-21 |
| 1518573963 | Better Play Performance & Rehab Pllc | Clinic/Center | 1201 Waters Edge Rd, Champaign, IL 61822-8101 | 2020-09-21 |
| 1548876329 | Midwest Orthopaedics At Rush, LLC | Clinic/Center | 17130 Prime Blvd Ste 101, Lockport, IL 60441-1311 | 2020-09-17 |
| 1124631676 | Leena Bird Physical Therapy Pllc | Clinic/Center | 400 Prairie Knoll Dr, Naperville, IL 60565-4154 | 2020-08-25 |
| 1831702232 | Pararmount Physical Therapy LLC | Clinic/Center | 2960 Artesian Rd Ste 152, Naperville, IL 60564-4876 | 2020-08-25 |
| 1487263851 | Priority You Physical Therapy and Wellness Pllc | Clinic/Center | 2101 Alpine Way, Plainfield, IL 60586-5079 | 2020-07-30 |
| 1093324345 | Motogenix Concierge Physical Therapy | Clinic/Center | 111 S Morgan St Apt 620, Chicago, IL 60607-2732 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
| City | BURR RIDGE |
| Zip Code | 60527 |
Please comment or provide details below to improve the information on ACHIEVE ORTHOPEDIC SPORTS INSTITUTE, LLC.
| 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.