Active NPI
Kathryn Waszak, PT, DPT
- Physical Therapist
- Arlington Heights, IL
National Provider Identifier
1184079816
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4180
- Practice address
- 2517 N Walnut Ave
Arlington Heights, IL 60004-2472 - Phone
- (847) 997-5524
- NPI assigned
- May 2, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070017503 | IL | |
| Physical Therapist | 225100000X | 4180 | HI | Primary |
Addresses
Primary practice location
2517 N Walnut Ave
Arlington Heights, IL 60004-2472
Mailing address
2517 N Walnut Ave
Arlington Heights, IL 60004-2472
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4180 | HI | MD | Physical Therapist |
| 070017503 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462147200000",
"number": "1184079816",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2517 N WALNUT AVE",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600042472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2517 N WALNUT AVE",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600042472",
"telephone_number": "847-997-5524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASZAK",
"first_name": "KATHRYN",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-05-02",
"last_updated": "2016-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070017503",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "4180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 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.