Active NPI
Rick A Stojak, PT
- Physical Therapist
- Cary, IL
National Provider Identifier
1174707491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070015314
- Practice address
- 2615 Three Oaks Rd
Suite 1a
Cary, IL 60013-6123 - Phone
- (847) 516-8095
- Fax
- (847) 516-8098
- NPI assigned
- Dec 21, 2007
- 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 | 070015314 | IL | Primary |
Addresses
Primary practice location
2615 Three Oaks Rd
Suite 1a
Cary, IL 60013-6123
Mailing address
2615 Three Oaks Rd
Suite 1a
Cary, IL 60013-6123
Phone (847) 516-8095
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320364800000",
"number": "1174707491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2615 THREE OAKS RD",
"address_2": "SUITE 1A",
"city": "CARY",
"state": "IL",
"postal_code": "600136123",
"telephone_number": "847-516-8095",
"fax_number": "847-516-8098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2615 THREE OAKS RD",
"address_2": "SUITE 1A",
"city": "CARY",
"state": "IL",
"postal_code": "600136123",
"telephone_number": "847-516-8095",
"fax_number": "847-516-8098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOJAK",
"first_name": "RICK",
"middle_name": "A",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-21",
"last_updated": "2011-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070015314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cary, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.