Stephanie J Carlson, DPT
Individual provider Active NPI Physical Therapist · Rockton, IL
NPI 1487938304 · NPPES record last updated Aug 11, 2023
Key facts
- NPI
- 1487938304
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070018761 (IL)
- Practice address
- 330 E Main St
Rockton, IL 61072-2501 - Phone
- (815) 398-9491
- Fax
- (815) 381-7498
- NPI assigned
- Oct 11, 2011
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 23
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orthomidwest, PLLC
Practice addresses (Care Compare)
5875 E Riverside Blvd
Rockford, IL 61114-4937
Phone (815) 398-9491
770 Beloit Rd
Belvidere, IL 61008-1745
Phone (815) 398-9491
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.02 of 100
- Quality
- 68.63
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.11
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111212000925 | IL | Practitioner - Physical Therapist in Private Practice | 7012182520 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070018761 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthomidwest, PLLC | Physical Therapist | Current |
Accepting new patients |
| Orthomidwest, PLLC | Current |
Accepting new patients |
Locations
770 Beloit Rd
Belvidere, IL 61008
Phone (815) 847-7060
5875 E Riverside Blvd
Rockford, IL 61114
Phone (779) 774-1270
535 Roxbury Rd
Rockford, IL 61107
Phone (815) 387-1717
330 E Main St
Rockton, IL 61072
Phone (815) 624-0235
330 E Main St
Ste 300
Rockton, IL 61072
Interoperability endpoints
- stephanie.carlson@ro.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070018761 | IL | Yes |
Addresses
Primary practice location
330 E Main St
Rockton, IL 61072-2501
Mailing address
PO Box 735263
Chicago, IL 60673-5263
Other names
- Stephanie J Nedved
Other providers in Rockton, IL
- Rachel Michelle Bixby
- Board of Trustees of the University of Illinois
- Bright Start Speech and Language Services, LTD.
- Elizabeth Nicole Bunnell
- Patrice Burton-Bauman
- Tyler R Carroll
- Denise Clouser
- Connections Therapy Center PLLC
- Ronald Glenn Conrad I
- Leslie A Dean
All providers in Rockton, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.