Katelyn P Ciszon, SLP/L

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

242001525 Issued in IL

Practice address

407 E Terra Cotta Ave Ste E
Crystal Lake, IL 60014-3602

Phone

(847) 766-0011

Fax

(847) 999-6722

NPI assigned

Jun 15, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Qualified Speech Language Pathologist

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Empower Advanced TherapyGroup PAC ID 1052774460, 7 clinicians

Practice addresses (Care Compare)

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.

• Empower Advanced Therapy

  • Rehabilitation Clinic/Center
  • Crystal Lake, IL
  • NPI 1245942556
  Medicare reassignment Care Compare group NPD
• Given Sports & Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Crystal Lake, IL
  • NPI 1053506451
  NPD
• Hope's Playground Pediatric Therapy, Inc.

  • Speech-Language Pathologist
  • Antioch, IL
  • NPI 1215308457
  NPD (past)
• Hope's Playground Pediatric Therapy, Inc.

  • Pediatric Occupational Therapist
  • Antioch, IL
  • NPI 1639394893
  NPD (past)

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1114248036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 E TERRA COTTA AVE",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143602",
            "telephone_number": "847-766-0011",
            "fax_number": "847-999-6722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E TERRA COTTA AVE STE E",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143602",
            "telephone_number": "847-766-0011",
            "fax_number": "847-999-6722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISZON",
        "first_name": "KATELYN",
        "middle_name": "P",
        "credential": "SLP/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-15",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242001525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina J. Levi O D P C (Coventry Eyecare Associates)
• Madison Chudik
• Sandeep Chunduri, MD
• Juliana Yong Hae Chyu, M.D.
• Julie Ciero, M.S.SLP,CCC-L
• City of Crystal Lake
• CL Pharmacy LLC (Crystal Lake Pharmacy)
• CL-Surgi Center, SC
• Claire L Brown LCSW PC
• Joan Kay Clark

• Speech-Language Pathologist in Crystal Lake, IL
• Providers in Crystal Lake, IL by specialty
• Speech-Language Pathologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.