Individual provider Active NPI

Steven Cieniawa

  • Physical Therapist
  • Westmont, IL
National Provider Identifier
1861225757
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.028565 Issued in IL
Practice address
220 W Ogden Ave
Westmont, IL 60559-1346
Phone
(630) 908-7430
NPI assigned
Aug 26, 2024
Last updated
Aug 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 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 070.028565 IL Primary

Addresses

Primary practice location

220 W Ogden Ave
Westmont, IL 60559-1346

Mailing address

511 S Ridge Ave
Arlington Heights, IL 60005-1717

Other names 1

  • Steven Cieniawa Professional name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240916000955 IL Practitioner - Physical Therapist in Private Practice 7012458235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 2024
Medicare assignment
May accept Medicare assignment
Group practices
Theracore, Inc.Group PAC ID 9234200049, 7 clinicians

Practice addresses (Care Compare)

220 W Ogden Ave
Westmont, IL 60559-1346
Phone (630) 908-7430

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.028565ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Theracore, Inc. Physical Therapist CurrentSince Aug 26, 2024 Accepting new patients
Wisconsin Orthopedic Physical Therapy Physical Therapist PastSince Jun 23, 2024 Accepting new patients

Locations

16622 W 159th St
Ste 503
Lockport, IL 60441
Phone (815) 838-5070

220 W Ogden Ave
Westmont, IL 60559
Phone (630) 908-7430

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1861225757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 S RIDGE AVE",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600051717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 W OGDEN AVE",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591346",
            "telephone_number": "630-908-7430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIENIAWA",
        "first_name": "STEVEN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.028565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEVEN",
            "last_name": "CIENIAWA",
            "credential": "DPT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Westmont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.