=====================================================
General NPI Number Information
=====================================================
NPI Number | 1447164843
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | DPT HOLDINGS, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/01/2026
-----------------------------------------------------
Last Update Date | 10/01/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 19582 BEACH BLVD STE 130
-----------------------------------------------------
City | HUNTINGTON BEACH
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92648-5924
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 714-841-6162
-----------------------------------------------------
Fax | 714-841-9912
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 24014 W RENWICK RD STE 206
-----------------------------------------------------
City | PLAINFIELD
-----------------------------------------------------
State | IL
-----------------------------------------------------
Zip | 60544-8711
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 800-974-4378
-----------------------------------------------------
Fax | 630-515-1536
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CHIEF REVENUE OFFICER
-----------------------------------------------------
Name | ASHLEIGH SCHEMENAUR
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 630-346-5679
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State | NULL
-----------------------------------------------------