Active NPI
Cheryl Biederstadt, PT
- Physical Therapist
- Munster, IN
National Provider Identifier
1649540212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 05010451A
- Practice address
- 1650 45TH Ave Ste 2D
Munster, IN 46321-3960 - Phone
- (219) 836-4921
- Fax
- (219) 836-4923
- NPI assigned
- Jan 12, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070018053 | IL | |
| Physical Therapist | 225100000X | 05010451A | IN | Primary |
Addresses
Primary practice location
1650 45TH Ave Ste 2D
Munster, IN 46321-3960
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201112310 | Medicaid | IN |
Other names 1
- Cheryl Luif
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19805 S la Grange Rd
Mokena, IL 60448-8348
Phone (708) 938-3378
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070018053 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services Il LLC | Physical Therapist | Current | Accepting new patients |
| Three Point Healthcare LLC | Physical Therapist | Current | Accepting new patients |
Locations
19805 S La Grange Rd
Mokena, IL 60448
Phone (708) 938-3378
7 Carnegie Plz
Cherry Hill, NJ 08003
Organizations & group practices 2
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.
-
- Physical Therapist
- Mokena, IL
- NPI 1124535240
-
- Physical Therapist
- Westchester, IL
- NPI 1114443462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326326400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421193600000",
"number": "1649540212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2223",
"fax_number": "630-759-9510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 45TH AVE STE 2D",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463213960",
"telephone_number": "219-836-4921",
"fax_number": "219-836-4923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIEDERSTADT",
"first_name": "CHERYL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-01-12",
"last_updated": "2015-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070018053",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05010451A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201112310",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHERYL",
"last_name": "LUIF",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Munster, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.