Supplemental
NPI 1316294507 · Physical Therapy Clinic/Center · Braidwood, IL
Supplemental is a Physical Therapy Clinic/Center organization in Braidwood, IL (NPI 1316294507).
Provider details
- NPI number
- 1316294507
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dawn Avitt, Pta(815) 458-2492
- License
- 160.003259 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
Mailing address
Registry dates
- Enumerated
- 2012-08-07
- Last updated
- 2012-08-07
Frequently asked questions
- What is Supplemental's NPI number?
- Supplemental's National Provider Identifier (NPI) is 1316294507, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Supplemental?
- Supplemental is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Supplemental located?
- Supplemental's practice location on file with NPPES is 152 S Walker St, Braidwood, IL 60408-1952.
- What is Supplemental's phone number?
- The practice phone number listed in the NPPES registry for Supplemental is (815) 458-2492.
- Who is the authorized official for Supplemental?
- The authorized official listed on Supplemental's NPPES record is Dawn Avitt, Pta. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Supplemental's NPI active?
- Yes — Supplemental's NPI (1316294507) is active in the NPPES registry as of the last update on 2012-08-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.