Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Athletic Edge Physical Therapy LLC

Organization Physical Therapist · NPI 1124326038

Athletic Edge Physical Therapy LLC is a Physical Therapist in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2011.

Licensed in
IL
In the registry since
2011
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1319 S Michigan Ave
Chicago, IL 60605-2601
Phone: (312) 617-5949
Fax: (312) 447-0036
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X · Licence 070015130 (IL)
Physical Therapist Taxonomy 225100000X · Licence 070015130 (IL)

Record details

NPI number1124326038
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Daniel Gray — Ceo · (312) 617-5949
NPI enumeratedMarch 2, 2011
Last updated in NPPESJune 6, 2011
Mailing address1319 S Michigan Ave, Chicago, IL 60605-2601

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