RTP Sports Medicine and Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

RTP SPORTS MEDICINE AND PHYSICAL THERAPY LLC

Practice address

1835 N 19TH Ave
Suite 206
Melrose Park, IL 60160-2040

Phone

(708) 397-4010

Fax

(708) 397-4011

NPI assigned

Sep 2, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

James Stepanich, ATC, CSCS

Title

President

Phone

(708) 397-4010

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Yunah Lee, PA-C

  • Physician Assistant
  • Elmhurst, IL
  • NPI 1396382933
  NPD
• Katherine Porter, LCSW

  • Clinical Social Worker
  • Elmhurst, IL
  • NPI 1720146889
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409616000000",
    "number": "1003216573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 N 19TH AVE",
            "address_2": "SUITE 206",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601602040",
            "telephone_number": "708-397-4010",
            "fax_number": "708-397-4011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 N 19TH AVE",
            "address_2": "SUITE 206",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601602040",
            "telephone_number": "708-397-4010",
            "fax_number": "708-397-4011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RTP SPORTS MEDICINE AND PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-02",
        "last_updated": "2014-09-02",
        "status": "A",
        "authorized_official_last_name": "STEPANICH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-397-4010",
        "authorized_official_credential": "ATC, CSCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alondra Romero Castro
• Stephanie Rosania, MD
• Stephanie Rosen
• David R Rosi, MD
• Roya Family Medical Center LTD
• Catalina Vivian Rubilar Ulloa
• Maureen Ellen Ruder, M.D.
• Helene Marie Ruiz Pla, MD
• Erika Vanessa Ruiz, PHARMD
• Kathleen Ruzak

• Physical Therapy Clinic/Center in Melrose Park, IL
• Providers in Melrose Park, IL by specialty
• Physical Therapy Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.