Stephanie Gendron, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070-016196 Issued in IL

Practice address

4223 N Lincoln Ave
Chicago, IL 60618-2901

Phone

(630) 841-6600

Fax

(773) 661-2995

NPI assigned

Feb 1, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Stephanie Barasch Former name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Symmetry Physical Therapy LLCGroup PAC ID 4587908835, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Symmetry Physical Therapy, LLC

  • Orthopedic Physical Therapist
  • Chicago, IL
  • NPI 1235488057
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1871771832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4223 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606182901",
            "telephone_number": "630-841-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4223 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606182901",
            "telephone_number": "630-841-6600",
            "fax_number": "773-661-2995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENDRON",
        "first_name": "STEPHANIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-01",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-016196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "BARASCH",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lesley Gena, LCPC
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• Mary Gende
• Shimon Ariel Gendelman, LCPC
• Lori Gendron
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• Nicola Ann Genelly, MSN, RNC, IBCLC, CCE
• Danielle Anne Genenz, MS, RD, LDN, CPT
• General Dentists LTD
• General Quality Transportation Inc

• Physical Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.