Individual provider Active NPI

Casey Campagna

  • Physical Therapist
  • Homer Glen, IL
National Provider Identifier
1093611089
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070040178 Issued in IL
Practice address
14753 Founders Xing
Homer Glen, IL 60491-6716
Phone
(708) 645-7700
NPI assigned
Oct 16, 2026
Last updated
Oct 16, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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 070040178 IL Primary

Addresses

Primary practice location

14753 Founders Xing
Homer Glen, IL 60491-6716

Mailing address

14445 Brentwood St
Orland Park, IL 60462-2621
Phone (708) 645-7700

Medicare participation

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

NPI Registry JSON

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

{
    "created_epoch": "1792108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792108800000",
    "number": "1093611089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14445 BRENTWOOD ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622621",
            "telephone_number": "708-645-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14753 FOUNDERS XING",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604916716",
            "telephone_number": "708-645-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPAGNA",
        "first_name": "CASEY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-16",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070040178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer Glen, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.