Active NPI
Kasten KR Woodcock, CO
- Orthotist
- Rockford, IL
National Provider Identifier
1114848827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- 213010642
- Practice address
- 5929 E Riverside Blvd
Rockford, IL 61114-4937 - Phone
- (815) 398-9491
- Fax
- (815) 381-7498
- NPI assigned
- Jul 21, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthotist | 222Z00000X | 213010642 | IL | Primary |
Addresses
Primary practice location
5929 E Riverside Blvd
Rockford, IL 61114-4937
Mailing address
PO Box 735263
Chicago, IL 60673-5263
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1114848827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735263",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5929 E RIVERSIDE BLVD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611144937",
"telephone_number": "815-398-9491",
"fax_number": "815-381-7498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOODCOCK",
"first_name": "KASTEN",
"middle_name": "KR",
"credential": "CO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-21",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "IL",
"license": "213010642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.