Phillip M. Sparacino, PT,DPT,OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.001685 Issued in IL

Practice address

13614 Cicero Ave
Crestwood, IL 60445-1937

Phone

(708) 389-3077

Fax

(708) 389-3545

NPI assigned

Sep 30, 2008

Last updated

May 1, 2012By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Achieve Orthopedic Rehabilitation Institute,Inc

  • Physical Therapist
  • Chicago, IL
  • NPI 1053331447
  NPD (past)
• South Suburban Open MRI of Orland, LLC

  • Radiology Clinic/Center
  • Orland Hills, IL
  • NPI 1881639425
  NPD (past)

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1417107194",
    "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": "13614 CICERO AVE",
            "city": "CRESTWOOD",
            "state": "IL",
            "postal_code": "604451937",
            "telephone_number": "708-389-3077",
            "fax_number": "708-389-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARACINO",
        "first_name": "PHILLIP",
        "middle_name": "M.",
        "credential": "PT,DPT,OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-30",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.001685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samah Sami Slim, DC
• Megan Smith, RN
• Jessica Socha
• Brandi Marie Sokolowski, M.S.,CCC-SLP/L
• Rebecca Souliotis, PHARMD
• Jennifer Nicole Stamos
• Steiner Personal Touch
• Jean Patrice Sutherland, SLP
• James Richard Swartz Jr., OTR/L
• Daniel Joseph Sweeney, DC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.