Stephen Knowles Churchill

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QAO3114 Issued in NJ

Practice address

1086 Teaneck Rd
Teaneck, NJ 07666-4854

Phone

(201) 833-1333

Fax

(201) 833-1390

NPI assigned

Dec 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Churchill Orthopedic Rehabilitation, LLCGroup PAC ID 5092812180, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Churchill Orthopedic Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Teaneck, NJ
  • NPI 1770632390

  Physical Therapist

  Medicare reassignment Care Compare group NPD Authorized official
• Orthopt of NJ

  • Orthopedic Physical Therapist
  • Leonia, NJ
  • NPI 1023957537
  NPD Authorized official
• Orthopt of NJ

  • Physical Therapist
  • Leonia, NJ
  • NPI 1275471880
  NPD Authorized official
• Balance and Concussion Therapy Center, LLC

  • Neurology Physical Therapist
  • Hackensack, NJ
  • NPI 1609595057
  NPD (past)

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689742025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 OAKDENE AVENUE",
            "city": "LEONIA",
            "state": "NJ",
            "postal_code": "076052039",
            "telephone_number": "201-947-4862",
            "fax_number": "201-833-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1086 TEANECK RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664854",
            "telephone_number": "201-833-1333",
            "fax_number": "201-833-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHURCHILL",
        "first_name": "STEPHEN",
        "middle_name": "KNOWLES",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QAO3114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joy D Chumizo
• Chan Kwon Chung
• Hayeon Chung
• Monique Chung
• Churchill Orthopedic Rehabilitation, LLC
• Ani Cioffo, AGNP-C
• Carmen Elena Clark, IBCLC, RLC
• Classic Podiatry
• Clenton Coleman MD PC
• Ayoka Clifford

• Physical Therapist in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.