Active NPI
Stephanie Stortzum
- Occupational Therapist
- Savoy, IL
National Provider Identifier
1255995205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 056005978
- Practice address
- 202 Goldenrod Dr
Savoy, IL 61874-9333 - Phone
- (217) 390-2243
- NPI assigned
- Apr 25, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 056005978 | IL | Primary |
Addresses
Primary practice location
202 Goldenrod Dr
Savoy, IL 61874-9333
Mailing address
202 Goldenrod Dr
Savoy, IL 61874-9333
Phone (217) 390-2243
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | sstortzum7@gmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191101002292 | IL | Practitioner - Occupational Therapist in Private Practice | 1254663727 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Saint Louis University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Savoy Therapy Services Inc
Practice addresses (Care Compare)
415 N Dunlap Ave
Unit 452
Savoy, IL 61874-1032
Phone (217) 898-8393
501 Trefoil
Savoy, IL 61874-8511
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Savoy Therapy Services Inc | Single Specialty | Current | Accepting new patients |
Locations
415 N Dunlap Ave
Unit 452
Savoy, IL 61874
Phone (217) 898-8393
Organizations & group practices 1
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": "1556150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1556150400000",
"number": "1255995205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "202 GOLDENROD DR",
"city": "SAVOY",
"state": "IL",
"postal_code": "618749333",
"telephone_number": "217-390-2243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 GOLDENROD DR",
"city": "SAVOY",
"state": "IL",
"postal_code": "618749333",
"telephone_number": "217-390-2243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STORTZUM",
"first_name": "STEPHANIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-25",
"last_updated": "2019-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "IL",
"license": "056005978",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "sstortzum7@gmail.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "202 Goldenrod Dr",
"city": "Savoy",
"state": "IL",
"country_code": "US",
"postal_code": "618749333",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Savoy, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2019; 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.