OrganizationActive
Core Sport & Physical Therapy PLLC
NPI 1376375394 · Physical Therapist · Evergreen Park, IL
Provider details
- NPI number
- 1376375394
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Parent organization
- Core Fitness & Physical Therapy Inc.
- Organization subpart
- Yes
- Authorized official
- Diane Fidler, Owner(773) 510-6422
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(56/100 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
10224 S Kedzie Ave Unit C
Evergreen Park, IL 60805-3735
Phone: (773) 941-6132
Street-level locationGet directions
Mailing address
2940 W 95th St
Evergreen Park, IL 60805-2408
Registry dates
- Enumerated
- 2024-08-19
- Last updated
- 2025-09-26
- Certified
- 2025-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.