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

Kyle Dodge, DPT

Individual provider Physical Therapist · NPI 1720434467

Kyle Dodge, DPT is a Physical Therapist in Private Practice in Mokena, Illinois. Qualified in 2016, 10 years ago. Practices with Dodge Therapy LLC, a 2-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
10
Licensed in
IL
In the registry since
2016
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

19843 Wolf Rd
Mokena, IL 60448-1315
Phone: (708) 479-0320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 21022 S Lagrange Rd, Frankfort, IL 60423-2004 — (815) 464-1100

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070022331 (IL)

Record details

NPI number1720434467
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedMay 12, 2016
Last updated in NPPESJuly 21, 2022
Mailing address625 Enterprise Dr, Oak Brook, IL 60523-8813

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Dodge Therapy Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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