Stacy Bennett, PT, MPT

Individual provider Active NPI Physical Therapist · Bartlett, IL

NPI 1760075873 · NPPES record last updated May 19, 2023

Key facts

NPI
1760075873
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
070-012187 (IL)
Practice address
1054 Norwood LN
Bartlett, IL 60103-4556
Phone
(630) 368-1776
NPI assigned
Feb 19, 2021
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
070-012187ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health & Hospitals Corp. Current
since Dec 1, 2021
Accepting new patients
Advocate Health and Hospitals Corporation Current
since Dec 1, 2021
Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
Sherman Hospital Past
since Feb 1, 2022
Accepting new patients

Locations

1054 Norwood Ln
Bartlett, IL 60103
Phone (630) 213-3232

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

29373 Network Pl
Chicago, IL 60673

13900 Quality Dr
Huntley, IL 60142
Phone (847) 961-7800

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070-012187 IL Yes

Addresses

Primary practice location

1054 Norwood LN
Bartlett, IL 60103-4556

Mailing address

29373 Network PL
Chicago, IL 60673-1293

Other practice location 1

100 Symphony Way
Elgin, IL 60120-5589
Phone (224) 783-4440

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address sbennett276614@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Other providers in Bartlett, IL

All providers in Bartlett, IL · Physical Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.