Individual provider Active NPI

Stephanie Tate, DPT

  • Physical Therapist
  • Elmhurst, IL
National Provider Identifier
1861741084
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.019460 Issued in IL
Practice address
300 W Butterfield Rd
Elmhurst, IL 60126-5017
Phone
(630) 834-0478
Fax
(630) 834-1677
NPI assigned
Sep 4, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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 070.019460 IL Primary

Addresses

Primary practice location

300 W Butterfield Rd
Elmhurst, IL 60126-5017

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223

Other identifiers 1

IdentifierTypeStateIssuer
070.019460OtherILLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121210000478 IL Practitioner - Physical Therapist in Private Practice 7618129065 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

705 W Plainfield Rd
Suite 1
Countryside, IL 60525-3684
Phone (708) 352-1362

939 Burlington Ave
Downers Grove, IL 60515-4716
Phone (630) 963-8505

Merit-based Incentive Payment System (MIPS)

Final score
85.61 of 100Reported as group
Quality
90
Improvement activities
40
Cost
70.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.019460ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Physical Therapist CurrentSince Jun 1, 2018 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Jun 18, 2016 Accepting new patients
Athletic and Therapeutic Institute of Bourbonnais, LLC Physical Therapist CurrentSince Jun 1, 2018 Accepting new patients
Athletic and Therapeutic Institute of Naperville LLC Physical Therapist CurrentSince Jun 18, 2016 Accepting new patients
Elmhurst Orthopaedics, SC Past Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC Physical Therapist Past Accepting new patients

Locations

500 W Lake St
Addison, IL 60101
Phone (630) 607-1820

1057 S York Rd
Bensenville, IL 60106
Phone (630) 350-2736

383 W Army Trail Rd
Ste 100
Bloomingdale, IL 60108
Phone (630) 924-0367

790 Remington Blvd
Bolingbrook, IL 60440

1275 N Convent St
Ste 3
Bourbonnais, IL 60914
Phone (815) 936-1855

120 Burr Ridge Pkwy
Burr Ridge, IL 60527
Phone (630) 570-5025

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

705 W Plainfield Rd
Ste 1
Countryside, IL 60525
Phone (708) 352-1362

939 Burlington Ave
Downers Grove, IL 60515
Phone (630) 963-8505

197 E Butterfield Rd
Elmhurst, IL 60126
Phone (630) 834-0478

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

460 Roosevelt Rd
Glen Ellyn, IL 60137
Phone (630) 858-8484

1 N La Grange Rd
Unit 2C
Lagrange Hlds, IL 60525
Phone (708) 698-5680

18W431 Roosevelt Rd
Lombard, IL 60148
Phone (630) 620-1511

2081 Ridge Rd
Ste 101
Minooka, IL 60447
Phone (815) 467-1612

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

7191 S Kingery Hwy
Ste L6
Willowbrook, IL 60527
Phone (630) 455-6630

7191 S Kingery Hwy
Willowbrook, IL 60527
Phone (630) 455-6630

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

335 W Irving Park Rd
Wood Dale, IL 60191
Phone (630) 238-7940

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.

NPI Registry JSON

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

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1861741084",
    "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",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W BUTTERFIELD RD",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601265017",
            "telephone_number": "630-834-0478",
            "fax_number": "630-834-1677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "STEPHANIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-04",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.019460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "070.019460",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; 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.