St Mary Therapy Services P.C

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ST MARY THERAPY SERVICES P.C

Practice address

7901 W 159TH Street #C
Tinley Park, IL 60477

Phone

(708) 620-8282

Fax

(708) 880-3180

NPI assigned

May 25, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Ashraf Youssief Sr., P.T

Title

Physical Therapist

Phone

(708) 620-8282

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Todd Kaminski, D.C.

  • Chiropractor
  • Geneva, IL
  • NPI 1164547477
  NPD (past)
• Gladys Larsen, FNP

  • Nurse Practitioner
  • Tinley Park, IL
  • NPI 1174974661
  NPD (past)
• Mark A Tomczak, CRNA

  • Certified Registered Nurse Anesthetist
  • Lansing, IL
  • NPI 1235188533
  NPD (past)
• Michael A. Withall, CRNA

  • Certified Registered Nurse Anesthetist
  • Joliet, IL
  • NPI 1396769824
  NPD (past)

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653436800000",
    "number": "1619615002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 W 159TH STREET #C",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "60477",
            "telephone_number": "708-620-8282",
            "fax_number": "708-880-3180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 W 159TH STREET #C",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "60477",
            "telephone_number": "708-620-8282",
            "fax_number": "708-880-3180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST MARY THERAPY SERVICES P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-25",
        "last_updated": "2022-05-25",
        "certification_date": "2022-05-25",
        "status": "A",
        "authorized_official_last_name": "YOUSSIEF",
        "authorized_official_first_name": "ASHRAF",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "708-620-8282",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "P.T"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "070007546",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Deanna L Stacy, MA, LCPC, NCC
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• Physical Therapist in Tinley Park, IL
• Providers in Tinley Park, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.