Active NPI
Ali Hassan Rafiq, PT, DPT
- Orthopedic Physical Therapist
- Glenview, IL
National Provider Identifier
1962287284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 070.026671
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 070.026671 | IL | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports and Ortho P.C | Current | 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.
-
- Rehabilitation Clinic/Center
- Chicago, IL
- NPI 1871640565
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.