Sauk Valley Physical Therapy, Inc.

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

SAUK VALLEY PHYSICAL THERAPY, INC.

Practice address

4204 E Lincolnway Ave
Suite D
Sterling, IL 61081

Phone

(815) 548-9444

Fax

(815) 548-9446

NPI assigned

Oct 10, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Krzyminski

Title

Executive Vice President

Phone

(419) 221-6717

Specialties & licenses 1

Addresses

Other names 1

• CORA Physical Therapy - Sauk Valley Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Outpatient physical therapy / speech pathology certification: CCN 146770

Legal name

CORA PHYSICAL THERAPY - SAUK VALLEY

Certification status

Active

Provider type (POS)

Outpatient physical therapy / speech pathology

Participating since

Jul 24, 2020

Last certification

Jul 24, 2020

Ownership / control type

Proprietary

Facility address

4204 East Lincolnway Ave Suite D
Sterling, IL 61081

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Cora Health Services, Inc.

  • Rehabilitation Clinic/Center
  • Belleview, FL
  • NPI 1912563156

  Member Of

  NPD member

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donald William Early

  • Physical Therapist
  • Dixon, IL
  • NPI 1982812764
  NPD
• Jacob Gartner, DPT

  • Physical Therapist
  • Rockford, IL
  • NPI 1417305020
  NPD (past)
• Hannah Marie Rehfeldt, PT, DPT, ATC

  • Physical Therapist
  • Belvidere, IL
  • NPI 1083318836
  NPD (past)
• Joseph Guido Dubato, DPT

  • Physical Therapist
  • Apopka, FL
  • NPI 1013486075
  NPD (past)
• Eric C Warner, PT

  • Physical Therapist
  • Merrillville Bra, IN
  • NPI 1578603619
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1801148127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 150",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458020150",
            "telephone_number": "419-221-6717",
            "fax_number": "419-222-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4204 E LINCOLNWAY AVE",
            "address_2": "SUITE D",
            "city": "STERLING",
            "state": "IL",
            "postal_code": "61081",
            "telephone_number": "815-548-9444",
            "fax_number": "815-548-9446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAUK VALLEY PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-10",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "KRZYMINSKI",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
        "authorized_official_telephone_number": "419-221-6717",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CORA Physical Therapy - Sauk Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Rousonelos
• Brandi Sanchez
• Nancy Sanchez
• Sauk Medical Clinic
• Sauk Valley Mind Matters PC
• Sauk Valley Speech Therapy, PLLC
• Danelle Saunders, APRN, FNP-C
• Ashley E Scanlan, RN
• Virginia L. Schauff, FSW/MHP
• Jennifer Lynn Schlemmer, BA

• Rehabilitation Clinic/Center in Sterling, IL
• Providers in Sterling, IL by specialty
• Rehabilitation Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.