OrganizationActive
Wellness By Physiatry, PLLC
NPI 1255123584 · Physical Medicine & Rehabilitation Physician · Chicago, IL
Provider details
- NPI number
- 1255123584
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Fabiolla Kopp, Owner(209) 679-7807
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
30 N Michigan Ave Ste 506
Chicago, IL 60602-3837
Phone: (733) 124-4237
Fax: (773) 312-4522
Approximate (ZIP-level) locationGet directions
Mailing address
30 N Michigan Ave Ste 506
Chicago, IL 60602-3837
Registry dates
- Enumerated
- 2025-05-21
- Last updated
- 2025-07-23
- Certified
- 2025-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.