Ma Daphane Rafanan, LPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070-008728 Issued in IL

Practice address

2032 W Cermak Rd
Chicago, IL 60608-4116

Phone

(773) 247-8855

Fax

(773) 247-8896

NPI assigned

Oct 12, 2006

Last updated

Sep 20, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Total Rehab Therapy Partners PLLCGroup PAC ID 3173988367, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19977/brand/1/csg/1/fhir/r4

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.

• Total Rehab Therapy Partners, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Chicago, IL
  • NPI 1427763507

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Total Rehab PC

  • Physical Therapist
  • Roselle, IL
  • NPI 1629249917
  NPD
• Total Rehab PC

  • Physical Therapist
  • Naperville, IL
  • NPI 1689619306
  NPD
• Vinac Medical Center SC

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1104064260
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190246400000",
    "number": "1215026356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E IRVING PARK RD",
            "address_2": "STE. #107",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601722048",
            "telephone_number": "630-439-0009",
            "fax_number": "630-439-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2032 W CERMAK RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606084116",
            "telephone_number": "773-247-8855",
            "fax_number": "773-247-8896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFANAN",
        "first_name": "MA DAPHANE",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-008728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "02232425",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christian Dean Raether, MA, LPC
• Patricia A Raetz, BSN/MSN/APN
• Ewa Rafacz, N.P
• Margarida Rafael
• Sandra Rafael, O.D.
• Ariana Rafaty
• Roueen Rafeyan, M.D.
• Dean A Raffaelli, D.O.
• Miriam R Rafferty, PT, DPT
• Shane Rafferty, MS, CCLS

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.