Healthcare Provider Details

I. General information

NPI: 1023922440
Provider Name (Legal Business Name): DPT HOLDINGS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 AVENIDA LA PATA STE 120
SAN CLEMENTE CA
92673-6304
US

IV. Provider business mailing address

24014 W RENWICK RD STE 206
PLAINFIELD IL
60544-8711
US

V. Phone/Fax

Practice location:
  • Phone: 949-368-7415
  • Fax: 949-260-2648
Mailing address:
  • Phone: 800-947-4378
  • Fax: 630-515-1536

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: ASHLEIGH SCHEMENAUR
Title or Position: CHIEF REVENUE OFFICER
Credential:
Phone: 630-346-5679