Individual provider Active NPI

Ali Hassan Rafiq, PT, DPT

  • Orthopedic Physical Therapist
  • Glenview, IL
National Provider Identifier
1962287284
Registry record updated Aug 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
070.026671 Issued in IL
Practice address
2747 Pfingsten Rd
Glenview, IL 60026-1152
Phone
(224) 282-8133
NPI assigned
Aug 25, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 070.026671 IL Primary

Addresses

Primary practice location

2747 Pfingsten Rd
Glenview, IL 60026-1152

Mailing address

3257 Harrison St
Glenview, IL 60025-4571

Other practice location 1

1361 N Western Ave
Lake Forest, IL 60045-1226
Phone (224) 706-6145

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
070.026671ILMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sports and Ortho P.C CurrentSince Sep 5, 2023 Accepting new patients

Locations

412 W 31st St
Chicago, IL 60616
Phone (312) 225-3119

2747 Pfingsten Rd
Glenview, IL 60026
Phone (224) 282-8133

1361 N Western Ave
Lake Forest, IL 60045
Phone (224) 291-8369

Organizations & group practices 1

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": "1692921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1962287284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3257 HARRISON ST",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600254571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2747 PFINGSTEN RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261152",
            "telephone_number": "224-282-8133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1361 N Western Ave",
            "address_purpose": "LOCATION",
            "city": "Lake Forest",
            "state": "IL",
            "postal_code": "600451226",
            "country_code": "US",
            "telephone_number": "224-706-6145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RAFIQ",
        "first_name": "ALI",
        "middle_name": "HASSAN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": "070.026671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2023; 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.