Active NPI
Kathryn Julia Siegel, PT, DPT
- Physical Therapist
- Chicago, IL
National Provider Identifier
1003234170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070020609
- Practice address
- 2506 N Clark St # 158
Chicago, IL 60614-1848 - Phone
- (312) 401-0975
- NPI assigned
- Apr 4, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070020609 | IL | Primary |
Addresses
Primary practice location
2506 N Clark St # 158
Chicago, IL 60614-1848
Mailing address
1121 W Oakdale Ave Apt 2a
Chicago, IL 60657-4368
Phone (248) 894-8789
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070020609 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1396569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1500422400000",
"number": "1003234170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1121 W OAKDALE AVE APT 2A",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606574368",
"telephone_number": "248-894-8789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2506 N CLARK ST # 158",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606141848",
"telephone_number": "312-401-0975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIEGEL",
"first_name": "KATHRYN",
"middle_name": "JULIA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-04",
"last_updated": "2017-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070020609",
"primary": true
}
],
"identifiers": [],
"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 Jul 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.