Active NPI
Artur Motak, PTA
- Physical Therapy Assistant
- St Charles, IL
National Provider Identifier
1003793373
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 160.010496
- Practice address
- 9 N 2ND St
St Charles, IL 60174-1869 - Phone
- (630) 526-4200
- Fax
- (630) 526-4201
- NPI assigned
- Aug 19, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 160.010496 | IL | Primary |
Addresses
Primary practice location
9 N 2ND St
St Charles, IL 60174-1869
Mailing address
33900 Harper Ave Ste 104
Clinton TWP, MI 48035-4258
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160.010496 | IL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755734400000",
"number": "1003793373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33900 HARPER AVE STE 104",
"city": "CLINTON TWP",
"state": "MI",
"postal_code": "480354258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 N 2ND ST",
"city": "ST CHARLES",
"state": "IL",
"postal_code": "601741869",
"telephone_number": "630-526-4200",
"fax_number": "630-526-4201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTAK",
"first_name": "ARTUR",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-08-19",
"last_updated": "2025-08-21",
"certification_date": "2025-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "IL",
"license": "160.010496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Charles, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.