Individual provider Active NPI

Kate McKechnie, PT, DPT

  • Physical Therapist
  • Winnetka, IL
National Provider Identifier
1104226489
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070020862 Issued in IL
Practice address
914 Green Bay Rd Ste 202
Winnetka, IL 60093-1701
Phone
(877) 709-1090
Fax
(866) 221-3400
NPI assigned
Aug 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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 070020862 IL Primary

Addresses

Primary practice location

914 Green Bay Rd Ste 202
Winnetka, IL 60093-1701

Mailing address

211 N Clinton St Ste 2N
Chicago, IL 60661-1283
Phone (877) 709-1090

Other names 1

  • Kate Cysewski Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
070020862ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Thirty One Physical Therapy PLLC Physical Therapist Current Accepting new patients

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": "1408838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540512000000",
    "number": "1104226489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N CLINTON ST STE 2N",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606611283",
            "telephone_number": "877-709-1090",
            "fax_number": "866-221-3400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 GREEN BAY RD STE 202",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600931701",
            "telephone_number": "877-709-1090",
            "fax_number": "866-221-3400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKECHNIE",
        "first_name": "KATE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-24",
        "last_updated": "2018-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070020862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATE",
            "last_name": "CYSEWSKI",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winnetka, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.