Daniel Ciezobka
Individual provider Active NPI Physical Therapist · Oak Forest, IL
NPI 1548068679 · NPPES record last updated Mar 5, 2025
Key facts
- NPI
- 1548068679
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 15850 Cicero Ave
Oak Forest, IL 60452-3654 - Phone
- (708) 224-2555
- NPI assigned
- Mar 5, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Athletic and Therapeutic Institute of Naperville, LLC
Endeavor Rehab Center Inc
Practice addresses (Care Compare)
15850 Cicero Ave
Oak Forest, IL 60452-3654
Phone (708) 224-2555
3202 W Anderson LN
Suite 202
Austin, TX 78757-1022
Phone (512) 351-3263
6911 Ranch Rd 620
B 201
Austin, TX 78732-1920
Phone (512) 467-4546
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250318001922 | IL | Practitioner - Physical Therapist in Private Practice | 3577085638 | Reassigns benefits to 1 organization |
| I20251110002686 | TX | Practitioner - Physical Therapist in Private Practice | 3577085638 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletic and Therapeutic Institute of Naperville, LLC | Current |
Accepting new patients | |
| Endeavor Rehab Center Inc | Physical Therapist | Current |
Accepting new patients |
| Endeavor Rehab Center Inc | Physical Therapist | Current |
Accepting new patients |
| Athletic and Therapeutic Institute of Naperville LLC | Physical Therapist | Current |
Accepting new patients |
Locations
4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001
2001 Butterfield Rd
Ste 1600
Downers Grove, IL 60515
800 Des Plaines Ave
Forest Park, IL 60130
Phone (708) 366-2442
15850 Cicero Ave
Oak Forest, IL 60452
Phone (708) 224-2555
2325 W Monroe St
Springfield, IL 62704
Phone (217) 241-0270
967 N Green Bay Rd
Waukegan, IL 60085
Phone (224) 321-5237
109 W Geneva Rd
Wheaton, IL 60187
Phone (630) 784-3251
0S050 Winfield Rd
Ste 120
Winfield, IL 60190
Phone (630) 653-4743
6911 Ranch Road 620 N
Austin, TX 78732
Phone (512) 219-8533
3202 W Anderson Ln
Ste 202
Austin, TX 78757
Phone (512) 351-3263
5632 Edwards Ranch Rd
Ft Worth, TX 76109
Phone (817) 259-0600
896 Summit St
Round Rock, TX 78664
Phone (512) 599-4262
110 Mary Lou Dr
Ste 100
Willow Park, TX 76087
Phone (817) 423-5611
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
15850 Cicero Ave
Oak Forest, IL 60452-3654
Mailing address
2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (866) 370-8206
Other providers in Oak Forest, IL
- Chicmed Transportion &Logistics, LLC
- Sophia Y Chin
- Chiro One Wellness Center of Oak Forest LLC
- Christian Community Health Center
- James Mark Christian
- City of Oak Forest
- Cheri A Clarke
- Cole Vision Corporation
- Continuum Foot & Ankle Medical & Surgical Center LTD.
- Conway Nutrition Services, Inc.
All providers in Oak Forest, 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 Mar 5, 2025. 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.