Individual provider Active NPI

Scott M Wolff, LPT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1578637401
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
1706 E 87TH St
Chicago, IL 60617-2740
Phone
(773) 374-5300
Fax
(773) 374-5860
NPI assigned
Nov 20, 2006
Last updated
Mar 11, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X IL Primary

Addresses

Primary practice location

1706 E 87TH St
Chicago, IL 60617-2740

Mailing address

100 E Irving Park Rd
Ste. #107
Roselle, IL 60172-2048
Phone (630) 439-0009

Other identifiers 1

IdentifierTypeStateIssuer
354882603001OtherILIDPA PROVIDER #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060421000408 IL Practitioner - Physical Therapist in Private Practice 8729992011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Rehab Therapy Partners PLLCGroup PAC ID 3173988367, 5 clinicians

Practice addresses (Care Compare)

3830 W 95TH St
Suite 104
Evergreen Park, IL 60805-2004
Phone (773) 701-8048

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-014878ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Rehab Therapy Partners, PLLC Physical Therapist CurrentSince Mar 10, 2023 Accepting new patients
Total Rehab PC Physical Therapist CurrentSince Mar 6, 2006 Accepting new patients
Total Rehab PC Physical Therapist CurrentSince Mar 6, 2006 Accepting new patients

Locations

1706 E 87th St
Chicago, IL 60617
Phone (773) 374-5300

4920 N Central Ave
Ste 1A
Chicago, IL 60630
Phone (773) 736-3338

6201 W Touhy Ave
Ste 2
Chicago, IL 60646
Phone (847) 236-2450

3830 W 95th St
Ste 104
Evergreen Pk, IL 60805
Phone (708) 422-2815

7126 N Lincoln Ave
Lincolnwood, IL 60712
Phone (847) 583-9189

100 E Irving Park Rd
Ste 107
Roselle, IL 60172
Phone (630) 439-0009

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205193600000",
    "number": "1578637401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E IRVING PARK RD",
            "address_2": "STE. #107",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601722048",
            "telephone_number": "630-439-0009",
            "fax_number": "630-439-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 E 87TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606172740",
            "telephone_number": "773-374-5300",
            "fax_number": "773-374-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLFF",
        "first_name": "SCOTT",
        "middle_name": "M",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2008-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IDPA PROVIDER #",
            "identifier": "354882603001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.

Verify at the official NPI Registry.