Individual provider Active NPI

Atef Salama

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1972672640
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.006732 Issued in IL
Practice address
6441 S Pulaski Rd
Suite 306
Chicago, IL 60629-5148
Phone
(773) 884-0100
Fax
(773) 884-0800
NPI assigned
Nov 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 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 070.006732 IL Primary

Addresses

Primary practice location

6441 S Pulaski Rd
Suite 306
Chicago, IL 60629-5148

Mailing address

14232 Selva LN
Orland Park, IL 60462-1788

Other identifiers 1

IdentifierTypeStateIssuer
K23975OtherILPROVIDERS ID NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040506000822 IL Practitioner - Physical Therapist in Private Practice 1456340462 Reassigns benefits to 1 organization

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

Practice addresses (Care Compare)

6441 S Pulaski Rd
Chicago, IL 60629-5148
Phone (773) 884-0100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.006732ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Physical Therapy PC Physical Therapist CurrentSince May 1, 2005 Accepting new patients
Chicago Rehabilitation Services Inc Physical Therapist PastSince Oct 1, 2003 Accepting new patients

Locations

6441 S Pulaski Rd
Ste 300
Chicago, IL 60629
Phone (773) 585-0808

6441 S Pulaski Rd
#300
Chicago, IL 60629
Phone (773) 436-2170

6441 S Pulaski Rd
Ste 306
Chicago, IL 60629
Phone (773) 884-0100

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1972672640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14232 SELVA LN",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604621788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6441 S PULASKI RD",
            "address_2": "SUITE 306",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606295148",
            "telephone_number": "773-884-0100",
            "fax_number": "773-884-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAMA",
        "first_name": "ATEF",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-07",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.006732",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDERS ID NUMBER",
            "identifier": "K23975",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.