Individual provider Active NPI

Katrina Carpenter, PT, DPT

  • Physical Therapist
  • Orland Park, IL
National Provider Identifier
1073176343
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070024262 Issued in IL
Practice address
10730 W 143Rd St Ste 31
Orland Park, IL 60462-1975
Phone
(708) 966-2945
Fax
(708) 966-2958
NPI assigned
Apr 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 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 070024262 IL Primary

Addresses

Primary practice location

10730 W 143Rd St Ste 31
Orland Park, IL 60462-1975

Mailing address

10730 W 143Rd St Ste 31
Orland Park, IL 60462-1975
Phone (708) 966-2945

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190603000304 IL Practitioner - Physical Therapist in Private Practice 4486987765 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beyond Physical Therapy PLLCGroup PAC ID 4284096553, 4 clinicians

Practice addresses (Care Compare)

10730 W 143Rd St
Suite 31
Orland Park, IL 60462-1975
Phone (708) 966-2945

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Physical Therapy, PLLC Physical Therapist CurrentSince Jul 17, 2023 Accepting new patients

Locations

10730 W 143rd St
Ste 31
Orland Park, IL 60462
Phone (708) 966-2945

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.

NPI Registry JSON

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1073176343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10730 W 143RD ST STE 31",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604621975",
            "telephone_number": "708-966-2945",
            "fax_number": "708-966-2958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10730 W 143RD ST STE 31",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604621975",
            "telephone_number": "708-966-2945",
            "fax_number": "708-966-2958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "KATRINA",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-22",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070024262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.