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General NPI Number Information
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NPI Number | 1689487456
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Entity Type | Organization
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Legal Business Name | HYPERMOBILE DPT, LLC
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 664 W HUBBARD ST UNIT 200
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City | CHICAGO
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State | IL
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Zip | 60654-5509
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Country | US
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Telephone | 312-971-7279
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Fax |
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Provider Business Mailing Address
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Address Line | 1251 N HOYNE AVE APT 217
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City | CHICAGO
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State | IL
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Zip | 60622-3009
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KAITLIN RICHCREEK
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Credential | PT, DPT
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Telephone | 626-393-3345
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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