DYNAMIC PHYSICAL THERAPY, INC. (NPI# 1962974824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962974824 |
| Entity Type | Organization |
| Organization Name | DYNAMIC PHYSICAL THERAPY, INC. |
| Other Organization Name | BODY GEARS - LINCOLN PARK |
| Practice Address |
2316 N Clark St Chicago IL 60614-7760 |
| Mailing Address |
1110 Shawnee Rd Lima OH 45805-3529 |
| Practice Telephone | 3127393030 |
| Practice Fax Number | 8662213400 |
| Mailing Telephone | 4192216717 |
| Mailing Fax Number | 4192220507 |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2019-06-13 |
| 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 - Lincoln Park | Doing Business As Name - Organization |
| CORA Physical Therapy - Lincoln 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 |
| 1316419278 | Dynamic Physical Therapy, Inc. | Clinic/Center | 1049 Lake St Ste 201, Oak Park, IL 60301-6708 | 2018-12-17 |
| Street Address |
2316 N CLARK ST |
| City | CHICAGO |
| State | IL |
| Zip Code | 60614-7760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851441968 | Industrial Optical Service, Inc. | Optometrist | 2316 N Clark St, Chicago, IL 60614-7760 | 2007-01-11 |
| 1508475419 | Colin Mcreavy | Physical Therapist | 2316 N Clark St, Chicago, IL 60614-7760 | 2020-07-27 |
| 1093171613 | Myeyedr Optometry of Illinois, LLC | Optometrist | 2316 N Clark St, Chicago, IL 60614-7760 | 2016-01-12 |
| 1164860847 | Janaki Patel | Optometrist | 2316 N Clark St, Chicago, IL 60614-7760 | 2013-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487266516 | Taylor Connington | Pharmacist | 843 W Armitage Ave, Chicago, IL 60614 | 2020-08-19 |
| 1356975692 | Amarilis Diaz | Social Worker | Terry Hefter Associates, LLC, 1731 N. Marcey Suite 535, Chicago, IL 60614 | 2020-02-25 |
| 1457902975 | Michele Waggoner | Physical Therapist | 2515 N. Clark St, Chicago, IL 60614 | 2019-09-25 |
| 1669031936 | Justin Pomeroy | Acupuncturist | 1350 W. Schubert Ave., Chicago, IL 60614 | 2019-06-11 |
| 1801451547 | Amanda Harris | Counselor | 2451 N Lincoln Ave # 206, Chicago, IL 60614 | 2019-05-08 |
| 1780164574 | Danielle Trokey | Psychiatry & Neurology | 2515 N Clark St Ste 801, Chicago, IL 60614 | 2018-08-21 |
| 1841707353 | Madison Counseling Solutions LLC | Social Worker | 2502 N. Clark St., Chicago, IL 60614 | 2018-01-05 |
| 1386154011 | Allison Cooper Boyan | Occupational Therapist | 1640 N. Wells St., Unit 103, Chicago, IL 60614 | 2017-10-09 |
| 1245759653 | Eileen Davidson Siegel | Physician Assistant | 2073 N. Clybourn Ave., Chicago, IL 60614 | 2017-09-18 |
| 1447779814 | Elizabeth Hobart | Psychologist | 1800 W. Diversey Pkwy, Unit H, Chicago, IL 60614 | 2017-09-16 |
| Find all providers in zip 60614 | ||||
| Taxonomy Code | 261QR0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336754233 | Rci (wrs), LLC. | Clinic/Center | 5221-23 North Broadway, Chicago, IL 60640 | 2020-09-09 |
| 1588278741 | Rci (wrs), LLC. | Clinic/Center | 1151 S State St, Chicago, IL 60605-2304 | 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 |
| 1134733298 | Rci (wrs), LLC. | Clinic/Center | 444 W Jackson Blvd Lbby 1, Chicago, IL 60606-6951 | 2020-09-04 |
| 1255945317 | Rci (wrs), LLC. | Clinic/Center | 1751 W Division St Unit C-1e, Chicago, IL 60622-4086 | 2020-09-04 |
| 1144834227 | Rci (wrs), LLC. | Clinic/Center | 2400 N Sheffield Ave Ste 100, Chicago, IL 60614-3936 | 2020-09-04 |
| 1306404728 | Rci (wrs), Inc. | Clinic/Center | 1030 N Clark St Fl 6, Chicago, IL 60610-5467 | 2019-05-31 |
| 1831580075 | Avanza Rehabilitation Ltd | Clinic/Center | 3501 E 106th St Ste 102, Chicago, IL 60617-6625 | 2015-02-10 |
| 1417195900 | Total Therapy & Medical Center, Ltd. | Clinic/Center | 4832 N Sheridan Rd, Chicago, IL 60640-3704 | 2009-01-22 |
| Find all providers in CHICAGO | ||||
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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.