Katie Michelle Fitzgerald, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070017874 Issued in 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

Last updated

Jul 5, 2016By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Little Walks Pediatrics LLC

  • Physical Therapist
  • Somonauk, IL
  • NPI 1013757665
  NPD Authorized official
• Steps for Kids, Inc

  • Occupational Therapist
  • Yorkville, IL
  • NPI 1073831194
  NPD (past)

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

{
    "created_epoch": "1361318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467676800000",
    "number": "1144560699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 REMINGTON BLVD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604404909",
            "telephone_number": "630-296-2223",
            "fax_number": "630-759-9510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E CHURCH ST",
            "address_2": "UNIT C",
            "city": "SANDWICH",
            "state": "IL",
            "postal_code": "605482380",
            "telephone_number": "815-786-3123",
            "fax_number": "815-786-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITZGERALD",
        "first_name": "KATIE",
        "middle_name": "MICHELLE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-20",
        "last_updated": "2016-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070017874",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1222243",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenise Ervin, FNP
• David L Faulk, MD
• James Joseph Fedinec, M.D.
• First Impressions by Lerohl & Landers
• Latehesha Fitch, LCPC
• Kara Flynn, DMD
• Fountain Medical Group SC
• Fox Valley Older Adult Services
• Fox Valley Urology S.C.
• Fox Valley Vein Centers, P.C.

• Physical Therapist in Sandwich, IL
• Providers in Sandwich, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; 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.