Erin Maureen McDermott, PT, DPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

070.023522 Issued in IL

Practice address

455 Butler Dr
Lake Forest, IL 60045-3013

Phone

(216) 973-7468

NPI assigned

Feb 20, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Erin Maureen Gaffney Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Leaps and Bounds Therapy LLC

  • Multi-Specialty Clinic/Center
  • Lake Forest, IL
  • NPI 1205229572

  Pediatrics

  NPD

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1134629777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 S BATES AVE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627043347",
            "telephone_number": "216-973-7468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 BUTLER DR",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600453013",
            "telephone_number": "216-973-7468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDERMOTT",
        "first_name": "ERIN",
        "middle_name": "MAUREEN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-20",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.023522",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "IL",
            "license": "070.023522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1134629777",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "erin@leapsandboundsil.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "455 Butler Dr",
            "city": "Lake Forest",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600453013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "GAFFNEY",
            "middle_name": "MAUREEN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Allison May, AU.D.
• Kristen Mayer Cocagne, PA-C
• Peter M MC Cool, MD
• June McCallister, PT
• William McCune, MD
• Emily Aaron McGee, SLPA
• John Joseph McGillen, M.D.
• Cara McGowan, MA, LPC
• Caleen K McGrath, LCSW
• Michael S McGuire, MD

• Pediatric Physical Therapist in Lake Forest, IL
• Providers in Lake Forest, IL by specialty
• Pediatric Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.