Active NPI
Steven M Pfaff, PT
- Physical Therapist
- Lincolnwood, IL
National Provider Identifier
1124389374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070019192
- Practice address
- 6933 N Lincoln Ave
Lincolnwood, IL 60712-2605 - Phone
- (847) 674-2294
- Fax
- (847) 674-2397
- NPI assigned
- Jun 5, 2012
- 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 Therapist | 225100000X | 070019192 | IL | Primary |
Addresses
Primary practice location
6933 N Lincoln Ave
Lincolnwood, IL 60712-2605
Mailing address
205 W Wacker Dr
Suite 1020
Chicago, IL 60606-1216
Phone (312) 640-0329
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070019192 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338854400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355097600000",
"number": "1124389374",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 W WACKER DR",
"address_2": "SUITE 1020",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606061216",
"telephone_number": "312-640-0329",
"fax_number": "312-640-0407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6933 N LINCOLN AVE",
"city": "LINCOLNWOOD",
"state": "IL",
"postal_code": "607122605",
"telephone_number": "847-674-2294",
"fax_number": "847-674-2397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PFAFF",
"first_name": "STEVEN",
"middle_name": "M",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-05",
"last_updated": "2012-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070019192",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lincolnwood, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.