Active NPI
Ryan Sotiroff, PT,DPT
- Physical Therapist
- McHenry, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070019168
- Practice address
- 1728 N Richmond Rd
McHenry, IL 60051-5414 - Phone
- (815) 578-8905
- Fax
- (815) 578-8904
- NPI assigned
- Jun 19, 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 | 070019168 | IL | Primary |
Addresses
Primary practice location
1728 N Richmond Rd
McHenry, IL 60051-5414
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
- Enrolled in WI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
519 W Main St
Whitewater, WI 53190-1852
Phone (262) 473-0410
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| R.B. Gonzales Medical and Bariatric Center Inc. | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Accelerated Rehabilitation Centers LTD | Physical Therapist | Past | Accepting new patients |
Locations
29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652
3171 S 3rd Pl
Terre Haute, IN 47802
Phone (812) 235-4000
1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868
519 W Main St
Whitewater, WI 53190
Phone (262) 473-0410
Organizations & group practices 4
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.
-
dba MHS Physician Services
- Multi-Specialty Clinic/Center
- Janesville, WI
- NPI 1598718603
-
dba Mercy Walworth Hospital and Medical Center
- Critical Access Hospital
- Lake Geneva, WI
- NPI 1699728550
-
- Internal Medicine Physician
- Terre Haute, IN
- NPI 1598842254
-
- Physical Therapist
- Westmont, IL
- NPI 1205875713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343606400000",
"number": "1356604029",
"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": "1728 N RICHMOND RD",
"city": "MCHENRY",
"state": "IL",
"postal_code": "600515414",
"telephone_number": "815-578-8905",
"fax_number": "815-578-8904"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTIROFF",
"first_name": "RYAN",
"credential": "PT,DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-19",
"last_updated": "2012-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070019168",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McHenry, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; 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.