Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Scott Stack

Individual provider Physical Therapy Assistant · NPI 1558118992

Scott Stack is a Physical Therapy Assistant in Alsip, Illinois. Licensed in Illinois. Registered with an NPI since 2024.

Licensed in
IL
In the registry since
2024

Practice location Address checks out

12216 S Avers Ave
Alsip, IL 60803-1302
Phone: (708) 702-0172
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160.007136 (IL)

Record details

NPI number1558118992
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 3, 2024
Last updated in NPPESMarch 3, 2025
Certification dateMarch 3, 2025
Mailing address12216 S Avers Ave, Alsip, IL 60803-1302

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