Individual provider Active NPI

Steven Sedlacek, P.T.

  • Physical Therapist
  • Oakbrook Terrace, IL
National Provider Identifier
1700912862
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070006395 Issued in IL
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, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20031120000291 IL Practitioner - Physical Therapist in Private Practice 0648174847 Reassigns benefits to 1 organization

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
Improved Functions Therapeutic Services IncGroup PAC ID 4385745207, 3 clinicians

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

OrganizationSpecialtyStatusNew patients
Rehabon LLC Physical Therapist CurrentSince Aug 22, 2019 Accepting new patients
Improved Functions Therapeutic Services Inc Physical Therapist CurrentSince Jan 1, 2006 Accepting new patients
Tri City Balance Center S.C. Past Accepting new patients
Back in Motion Physical Therapy & Spine Center PC Physical Therapist PastSince Jul 30, 2004 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.

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.

Verify at the official NPI Registry.