Individual provider Active NPI

Martin Stevens, PT

  • Physical Therapist
  • Elk Grove Village, IL
National Provider Identifier
1851301865
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-011337 Issued in IL
Practice address
1000 Wellington Ave
2ND Floor
Elk Grove Village, IL 60007-7332
Phone
(847) 437-7070
Fax
(847) 437-1080
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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 070-011337 IL Primary

Addresses

Primary practice location

1000 Wellington Ave
2ND Floor
Elk Grove Village, IL 60007-7332

Mailing address

1000 E State Pkwy
Suite E
Schaumburg, IL 60173-4569
Phone (630) 285-8007

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070-011337ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fahey Medical Center S.C. Past Accepting new patients
Fox Valley Pain Center Service Corporation Past Accepting new patients
American Home Visiting Physicians Past Accepting new patients

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1851301865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E STATE PKWY",
            "address_2": "SUITE E",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734569",
            "telephone_number": "630-285-8007",
            "fax_number": "630-285-8017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 WELLINGTON AVE",
            "address_2": "2ND FLOOR",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600077332",
            "telephone_number": "847-437-7070",
            "fax_number": "847-437-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "MARTIN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-011337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.