Christen L Louderman, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.015167 Issued in IL

Practice address

110 W Woodstock St Ste a
Crystal Lake, IL 60014-4239

Phone

(815) 893-9075

NPI assigned

May 15, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Christen L Eustice Former name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Smith Physical Therapy and Running Academy, LLC

  • Physical Therapy Clinic/Center
  • Crystal Lake, IL
  • NPI 1396119988

  Physical Therapist

  Medicare reassignment NPD
• Orthopedic Associates of Northern Illinois, LLC

  • Orthopaedic Surgery Physician
  • Rockford, IL
  • NPI 1740277102
  NPD (past)

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679616000000",
    "number": "1093921918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 W WOODSTOCK ST STE A",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600144239",
            "telephone_number": "815-893-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 W WOODSTOCK ST STE A",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600144239",
            "telephone_number": "815-893-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUDERMAN",
        "first_name": "CHRISTEN",
        "middle_name": "L",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2023-03-24",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.015167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IL6238019",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IL6237019",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IL6697009",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTEN",
            "last_name": "EUSTICE",
            "middle_name": "L",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lopresti Counseling Services, LLC
• Erin Lopresti, M.S, LPC, NCC, CADC
• Zbigniew Thaddeus Lorenc, MD
• Susan R Loring, MD
• Macy Lossau, LSW
• Michael Joseph Louise, D.C.
• Madeline S. Lubenow, APN-CRNA
• Catherine Lucaccioni
• Lauren Lucas, MD
• Ludford Dental, P.C.

• Physical Therapist in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.