Active NPI
Steven Sedlacek, P.T.
- Physical Therapist
- Oakbrook Terrace, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070006395
- Practice address
- 1S443 Summit Ave
Ste 202
Oakbrook Terrace, IL 60181-3989 - Phone
- (630) 324-0905
- Fax
- (331) 209-9098
- NPI assigned
- Feb 25, 2007
- Last updated
- Nov 18, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070006395 | IL | Primary |
Addresses
Primary practice location
1S443 Summit Ave
Ste 202
Oakbrook Terrace, IL 60181-3989
Mailing address
33900 Harper Ave
Suite 104
Clinton Township, MI 48035-4258
Phone (586) 416-9100
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, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17 W 745 Butterfield Rd
Suite D
Oakbrook Terrance, IL 60181-4095
Phone (630) 324-0905
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabon LLC | Physical Therapist | Current | Accepting new patients |
| Improved Functions Therapeutic Services Inc | Physical Therapist | Current | Accepting new patients |
| Tri City Balance Center S.C. | Past | Accepting new patients | |
| Back in Motion Physical Therapy & Spine Center PC | Physical Therapist | Past | Accepting new patients |
Locations
1226 Ogden Ave
Downers Grove, IL 60515
Phone (312) 730-4593
17W745 Butterfield Rd
Ste D
Oakbrook Terrace, IL 60181
Phone (630) 324-0905
1S443 Summit Ave
Ste 202
Oakbrook Terrace, IL 60181
Phone (630) 324-0905
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Oakbrook Terrace, IL
- NPI 1932314820
-
- Physical Therapist
- Spring Grove, IL
- NPI 1972727360
-
- Neurology Physical Therapist
- Geneva, IL
- NPI 1649306267
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447804800000",
"number": "1700912862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33900 HARPER AVE",
"address_2": "SUITE 104",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480354258",
"telephone_number": "586-416-9100",
"fax_number": "586-416-9103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1S443 SUMMIT AVE",
"address_2": "STE 202",
"city": "OAKBROOK TERRACE",
"state": "IL",
"postal_code": "601813989",
"telephone_number": "630-324-0905",
"fax_number": "331-209-9098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEDLACEK",
"first_name": "STEVEN",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-25",
"last_updated": "2015-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070006395",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakbrook Terrace, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.