Active NPI
Mateusz J Zapotoczny, DPT
- Physical Therapist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-025655
- Practice address
- 1103 S State St
Chicago, IL 60605-2733 - Phone
- (312) 877-5101
- Fax
- (312) 877-5906
- NPI assigned
- Dec 7, 2020
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070-025655 | IL | Primary |
Addresses
Primary practice location
1103 S State St
Chicago, IL 60605-2733
Mailing address
1103 S State St
Chicago, IL 60605-2733
Phone (312) 877-5101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1659 W Hubbard St
Chicago, IL 60622-6352
Phone (312) 489-8579
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-025655 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ipt Management Services, Inc. | Physical Therapist | Current | Accepting new patients |
| Impact Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Sports and Ortho P.C | Current | Accepting new patients | |
| Athletico LTD | Physical Therapist | Current | Accepting new patients |
| Real PT LLC | Current | Accepting new patients |
Locations
1103 S State St
Ste 300
Chicago, IL 60605
Phone (312) 877-5101
24 S Morgan St
Ste 100
Chicago, IL 60607
Phone (312) 421-7274
1659 W Hubbard St
Chicago, IL 60622
Phone (312) 489-8579
1509 S Michigan Ave
Chicago, IL 60605
Phone (312) 431-0434
412 W 31st St
Chicago, IL 60616
Phone (312) 225-3119
1103 S State St
Chicago, IL 60605
Phone (312) 877-5101
280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219
722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088
600 Oakmont Ln
Ste 600C
Westmont, IL 60559
Phone (630) 575-6250
Organizations & group practices 6
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.
-
- Physical Therapy Clinic/Center
- Chicago, IL
- NPI 1760860621
-
- Physical Therapist
- Oak Brook, IL
- NPI 1821085028
-
- Physical Therapist
- Chicago, IL
- NPI 1508622614
-
- Rehabilitation Clinic/Center
- Chicago, IL
- NPI 1871640565
-
- Physical Medicine & Rehabilitation Physician
- Chicago, IL
- NPI 1063868206
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664323200000",
"number": "1861098774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1103 S STATE ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606052733",
"telephone_number": "312-877-5101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 S STATE ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606052733",
"telephone_number": "312-877-5101",
"fax_number": "312-877-5906"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZAPOTOCZNY",
"first_name": "MATEUSZ",
"middle_name": "J",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-07",
"last_updated": "2022-09-28",
"certification_date": "2022-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-025655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.