Individual provider Active NPI

Christina Stefanitsis, PT

  • Physical Therapist
  • Manchester, NH
National Provider Identifier
1790304178
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4606 Issued in NH
Practice address
20 S Main St
Manchester, NH 03102-4405
Phone
(603) 626-0760
NPI assigned
Apr 15, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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 4606 NH Primary

Addresses

Primary practice location

20 S Main St
Manchester, NH 03102-4405

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

Other identifiers 1

IdentifierTypeStateIssuer
4606OtherNHOFFICE OF ALLIED HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221031001779 IL Practitioner - Physical Therapist in Private Practice 8123495496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6560 W Fullerton Ave
Chicago, IL 60707-3439
Phone (773) 745-0338

Merit-based Incentive Payment System (MIPS)

Final score
86.49 of 100Reported as group
Quality
90
Improvement activities
40
Cost
73.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4606NHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic and Therapeutic Institute of Naperville LLC Physical Therapist CurrentSince Oct 24, 2022 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Oct 24, 2022 Accepting new patients
Cpte - Manchester, Inc. Physical Therapist CurrentSince Apr 19, 2020 Accepting new patients

Locations

790 Remington Blvd
Bolingbrook, IL 60440

6560 W Fullerton Ave
#Y2
Chicago, IL 60707
Phone (773) 745-0338

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

4049 W Diversey Ave
Chicago, IL 60639
Phone (773) 661-0696

6560 W Fullerton Ave
Chicago, IL 60707
Phone (773) 745-0338

5226 N Northwest Hwy
Chicago, IL 60630
Phone (708) 669-2493

1469 Ellinwood Ave
Des Plaines, IL 60016
Phone (847) 635-6896

800 Des Plaines Ave
Forest Park, IL 60130
Phone (708) 366-2442

1 W Rand Rd
Ste A
Mount Prospect, IL 60056
Phone (847) 590-5241

2325 W Monroe St
Springfield, IL 62704
Phone (217) 241-0270

967 N Green Bay Rd
Waukegan, IL 60085
Phone (224) 321-5237

109 W Geneva Rd
Wheaton, IL 60187
Phone (630) 784-3251

0S050 Winfield Rd
Ste 120
Winfield, IL 60190
Phone (630) 653-4743

20 S Main St
Manchester, NH 03102
Phone (603) 626-0760

522 Amherst St
Ste 22
Nashua, NH 03063
Phone (603) 880-0488

Organizations & group practices 3

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": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1790304178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 S MAIN ST",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031024405",
            "telephone_number": "603-626-0760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEFANITSIS",
        "first_name": "CHRISTINA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-15",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "4606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE OF ALLIED HEALTH",
            "identifier": "4606",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.