Nikita Stefanov, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.025197 Issued in IL

Practice address

701 N Milwaukee Ave Ste 246B
Vernon Hills, IL 60061-1524

Phone

(773) 796-3069

NPI assigned

Jun 24, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Athletic and Therapeutic Institute of Bourbonnais, LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Bourbonnais, IL
  • NPI 1861503542
  Medicare reassignment NPD
• Athletic and Therapeutic Institute of Naperville LLC

  dba ATI Physical Therapy

  • Physical Therapist
  • Aurora, IL
  • NPI 1023129681
  Medicare reassignment NPD
• Athletic & Therapeutic Institute of Bourbonnais, LLC

  dba Ati Physical Therapy

  • Physical Therapist
  • Bloomingdale, IL
  • NPI 1306177910
  NPD
• Athletic and Therapeutic Institute of Bourbonnais, LLC

  • Durable Medical Equipment & Medical Supplies
  • Columbia, IL
  • NPI 1124766696

  Physical Therapist

  NPD
• Athletic and Therapeutic Institute of Naperville, LLC

  • Durable Medical Equipment & Medical Supplies
  • Hazel Crest, IL
  • NPI 1043952641
  NPD
• Fit Institute PC

  • Rehabilitation Clinic/Center
  • Chicago, IL
  • NPI 1053883686

  Physical Therapist

  NPD
• The Fit Institute

  • Rehabilitation Clinic/Center
  • Chicago, IL
  • NPI 1700245487
  NPD (past)

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

{
    "created_epoch": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1144846114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 RED TOP DR APT 203",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485237",
            "telephone_number": "773-575-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 N MILWAUKEE AVE STE 246B",
            "city": "VERNON HILLS",
            "state": "IL",
            "postal_code": "600611524",
            "telephone_number": "773-796-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFANOV",
        "first_name": "NIKITA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-24",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.025197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serge Sorokin, LCPC
• Vanesa Mattie Soto, RN
• Brianne Souligne, BA
• Speechtacular Therapy, LLC
• Zoe Srebnick
• Donald Robert Steinmuller, M.D.
• Elizabeth Stencel
• Stephen M Parker DDS LTD
• Stewart Steres, R.PH.
• Kimberly Ann Stergios, MS, CCC-SLP

• Physical Therapist in Vernon Hills, IL
• Providers in Vernon Hills, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.