Individual provider Active NPI

Michael Stepuszek, DPT

  • Physical Therapist
  • Rantoul, IL
National Provider Identifier
1114690146
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
209 W Borman Dr
Rantoul, IL 61866-3632
Phone
(217) 366-1323
Fax
(217) 366-5382
NPI assigned
Jul 27, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Primary

Addresses

Primary practice location

209 W Borman Dr
Rantoul, IL 61866-3632

Mailing address

101 W University Ave
Champaign, IL 61820-3981
Phone (217) 366-1323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211210000472 AL Practitioner - Physical Therapist in Private Practice 0749670545 Reassigns benefits to 1 organization
I20250627002489 IL Practitioner - Physical Therapist in Private Practice 0749670545 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christie Clinic, PLLCGroup PAC ID 7719899319, 219 clinicians

Practice addresses (Care Compare)

209 W Borman Dr
Rantoul, IL 61866-3632
Phone (217) 893-9671

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
PT Solutions of Montgomery, LLC Physical Therapist CurrentSince Oct 7, 2021 Accepting new patients
Christie Clinic, PLLC Physical Therapist CurrentSince Jun 2, 2025 Accepting new patients
PT Solutions of Montgomery, LLC Physical Therapist CurrentSince Oct 7, 2021 Accepting new patients

Locations

7850 Vaughn Rd
Ste 100
Montgomery, AL 36116
Phone (334) 396-2110

7061 Halcyon Summit Dr
Montgomery, AL 36117
Phone (334) 396-2110

1100 Circle 75 Pkwy SE
Ste 1400
Atlanta, GA 30339
Phone (678) 403-3555

101 W University Ave
Champaign, IL 61820
Phone (217) 366-1255

1120 N Melvin St
Gibson City, IL 60936
Phone (217) 355-1684

209 W Borman Dr
Rantoul, IL 61866
Phone (217) 366-1323

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.

NPI Registry JSON

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1114690146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 W UNIVERSITY AVE",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618203981",
            "telephone_number": "217-366-1323",
            "fax_number": "217-366-5382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W BORMAN DR",
            "city": "RANTOUL",
            "state": "IL",
            "postal_code": "618663632",
            "telephone_number": "217-366-1323",
            "fax_number": "217-366-5382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEPUSZEK",
        "first_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-27",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rantoul, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.