OrganizationActive
Awaken Physical Therapy and Myofascial Release
NPI 1104494194 · Physical Therapist · Elburn, IL
Provider details
- NPI number
- 1104494194
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Chamberlin Dewitte, Owner(815) 375-0132
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
43w481 Kenmar Ct
Elburn, IL 60119-9106
Phone: (815) 375-0132
Street-level locationGet directions
Mailing address
43w481 Kenmar Ct
Elburn, IL 60119-9106
Registry dates
- Enumerated
- 2021-06-15
- Last updated
- 2021-06-15
- Certified
- 2021-06-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.