Steve Korsan, MS, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1627 4TH St
Peru, IL 61354-3507

Phone

(815) 223-4479

NPI assigned

Mar 20, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

Credentials

Master of Science

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.

• City Center Physical Therapy - Peru, Inc.

  • Physical Therapist
  • Peru, IL
  • NPI 1043362965
  NPD (past)
• City Center Rehabilitation West - Inc.

  • Physical Therapy Clinic/Center
  • Peru, IL
  • NPI 1396981742
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447375258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419B NORTH 30TH RD",
            "city": "LASALLE",
            "state": "IL",
            "postal_code": "61301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1627 4TH ST",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613543507",
            "telephone_number": "815-223-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORSAN",
        "first_name": "STEVE",
        "credential": "MS, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kamal Kishore, M.D.
• Gary Joseph Kistenfeger, PT
• Pamela M Koehler, CNM
• Christine Kohut, LCSW
• Robert James Koogler, M.D.
• Tracy Louise Kotecki
• Terrence Phillip Kunkel, DDS
• Joseph G. Kunnel, D.D.S., M.S., PHD.
• John T Kuzma, PA-C
• Allyson Lamkin, OD

• Athletic Trainer in Peru, IL
• Providers in Peru, IL by specialty
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.