Healthcare Provider Details

I. General information

NPI: 1013821420
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

15000 KENSINGTON PARK DR STE 110
TUSTIN CA
92782-1831
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 657-859-6458
  • Fax: 657-215-8480
Mailing address:
  • Phone: 800-974-4378
  • 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