Katherine M Ceisel, PT

Individual provider Active NPI Physical Therapist · Winnetka, IL

NPI 1013385905 · NPPES record last updated Sep 12, 2017

Key facts

NPI
1013385905
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
070021695 (IL)
Practice address
852 Green Bay Rd
Winnetka, IL 60093-1853
Phone
(847) 441-5788
Fax
(847) 784-8720
NPI assigned
Sep 9, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
070021695ILMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070021695 IL Yes

Addresses

Primary practice location

852 Green Bay Rd
Winnetka, IL 60093-1853

Mailing address

8000 S Lincoln St
Ste 6
Littleton, CO 80122-2704
Phone (630) 575-6250

Other providers in Winnetka, IL

All providers in Winnetka, IL · Physical Therapist in Illinois

Sources for this page

Verify at the official NPI Registry.