Individual provider Active NPI

Aleksander Kerzee-Stamatelopoulos, DPT

  • Physical Therapist
  • Bloomingdale, IL
National Provider Identifier
1609174259
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070018842 Issued in IL
Practice address
245 S Gary Ave Ste 100
Bloomingdale, IL 60108-2200
Phone
(630) 933-4550
Fax
(630) 933-2200
NPI assigned
Mar 7, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X ID-2804 ID
Physical Therapist 225100000X 070018842 IL Primary

Addresses

Primary practice location

245 S Gary Ave Ste 100
Bloomingdale, IL 60108-2200

Mailing address

245 S Gary Ave Ste 100
Bloomingdale, IL 60108-2200
Phone (630) 933-4550

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230117001785 IL Practitioner - Physical Therapist in Private Practice 2163605700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Northwestern University Feinberg Medical School, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

449 N York St
Elmhurst, IL 60126-2003
Phone (331) 642-0680

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.63 of 100Reported as apm
Quality
88.47
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ID-2804IDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabit Concierge Physical Therapy Physical Therapist CurrentSince Nov 17, 2025 Accepting new patients
Central Dupage Physician Group CurrentSince Nov 2, 2022 Accepting new patients
Central Dupage Physician Group CurrentSince Nov 2, 2022 Accepting new patients
Rehabauthority, LLC Physical Therapist PastSince Sep 19, 2016 Accepting new patients

Locations

245 S Gary Ave
Ste 100
Bloomingdale, IL 60108
Phone (630) 924-4009

Dept 5777
Carol Stream, IL 60122

449 N York St
Elmhurst, IL 60126
Phone (331) 642-0680

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1609174259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 S GARY AVE STE 100",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082200",
            "telephone_number": "630-933-4550",
            "fax_number": "630-933-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 S GARY AVE STE 100",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082200",
            "telephone_number": "630-933-4550",
            "fax_number": "630-933-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERZEE-STAMATELOPOULOS",
        "first_name": "ALEKSANDER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-07",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "ID-2804",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070018842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; 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.