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

Awaken Physical Therapy and Myofascial Release

Organization Physical Therapist · NPI 1104494194

Awaken Physical Therapy and Myofascial Release is a Physical Therapist in Elburn, Illinois. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

43W481 Kenmar Ct
Elburn, IL 60119-9106
Phone: (815) 375-0132
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1104494194
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chamberlin Dewitte — Owner · (815) 375-0132
NPI enumeratedJune 15, 2021
Last updated in NPPESJune 15, 2021
Certification dateJune 15, 2021
Mailing address43w481 Kenmar Ct, Elburn, IL 60119-9106

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