Active NPI
Steve Middleton, PT, DPT, ATC
- Athletic Trainer
- Carbondale, IL
National Provider Identifier
1013142884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 100 S Glenview Dr
Carbondale, IL 62901-2238 - Phone
- (618) 559-8196
- NPI assigned
- May 22, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 2018003451 | MO | |
| Athletic Trainer | 2255A2300X | 2015028965 | MO | |
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
100 S Glenview Dr
Carbondale, IL 62901-2238
Mailing address
312 E 5TH St
Fulton, MO 65251-1719
Phone (618) 559-8196
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018003451 | MO | MD | Orthopedic Physical Therapist |
| 2015028965 | MO | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Orthopedic | Current | Accepting new patients |
| Assess, Treat & Condition | Current | Accepting new patients | |
| Athletico LTD | Current | Accepting new patients |
Locations
900 E Walnut St
Ste 1
Carbondale, IL 62901
Phone (618) 319-7540
280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219
2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250
722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088
Interoperability endpoints
- steve.middleton.p2@direct.athleticoltd.nextgenshare.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rehabilitation Clinic/Center
- Carbondale, IL
- NPI 1578990446
-
- Clinic/Center
- Lafayette, IN
- NPI 1053044867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518048000000",
"number": "1013142884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 E 5TH ST",
"city": "FULTON",
"state": "MO",
"postal_code": "652511719",
"telephone_number": "618-559-8196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S GLENVIEW DR",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "629012238",
"telephone_number": "618-559-8196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDDLETON",
"first_name": "STEVE",
"name_prefix": "Dr.",
"credential": "PT, DPT, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-22",
"last_updated": "2018-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MO",
"license": "2018003451",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MO",
"license": "2015028965",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carbondale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.