Katie Michelle Fitzgerald, PT
Individual provider Active NPI Physical Therapist · Sandwich, IL
NPI 1144560699 · NPPES record last updated Jul 5, 2016
Key facts
- NPI
- 1144560699
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 070017874 (IL)
- Practice address
- 410 E Church St
Unit C
Sandwich, IL 60548-2380 - Phone
- (815) 786-3123
- Fax
- (815) 786-3136
- NPI assigned
- Feb 20, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070017874 | IL | MD | Physical Therapist |
| 1222243 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Walks Pediatrics LLC | Physical Therapist | Current | Accepting new patients |
| Steps for Kids, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070017874 | IL | Yes |
| Physical Therapist | 225100000X | 1222243 | TX |
Addresses
Primary practice location
410 E Church St
Unit C
Sandwich, IL 60548-2380
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Other providers in Sandwich, IL
- Jenise Ervin
- David L Faulk
- James Joseph Fedinec
- First Impressions by Lerohl & Landers
- Latehesha Fitch
- Kara Flynn
- Fountain Medical Group SC
- Fox Valley Older Adult Services
- Fox Valley Urology S.C.
- Fox Valley Vein Centers, P.C.
All providers in Sandwich, IL · Physical Therapist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.