Active NPI
Stephanie Teufel, DPT
- Geriatric Physical Therapist
- Peoria, IL
National Provider Identifier
1740940717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 070022938
- Practice address
- 6901 N Galena Rd
Peoria, IL 61614-3193 - Phone
- (309) 692-4600
- NPI assigned
- Dec 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 070022938 | IL | Primary |
Addresses
Primary practice location
6901 N Galena Rd
Peoria, IL 61614-3193
Mailing address
200 Castle LN
East Peoria, IL 61611-1768
Phone (309) 267-3587
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220802002609 | IL | Practitioner - Physical Therapist in Private Practice | 9739561168 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Professional Therapy Services Inc
Practice addresses (Care Compare)
1909 N Morton Ave
Morton, IL 61550-1426
Phone (309) 266-5488
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Therapy Services, Inc | Current | Accepting new patients |
Locations
2900 Frank Scott Pkwy W
Ste 930
Belleville, IL 62223
Phone (618) 222-9383
1909 N Morton Ave
Morton, IL 61550
Phone (309) 263-9124
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639699200000",
"number": "1740940717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CASTLE LN",
"city": "EAST PEORIA",
"state": "IL",
"postal_code": "616111768",
"telephone_number": "309-267-3587"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6901 N GALENA RD",
"city": "PEORIA",
"state": "IL",
"postal_code": "616143193",
"telephone_number": "309-692-4600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEUFEL",
"first_name": "STEPHANIE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-12-17",
"last_updated": "2021-12-17",
"certification_date": "2021-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "IL",
"license": "070022938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.