Active NPI
Katherine Renee Woltering, MPT
- Physical Therapist
- Villa Park, IL
National Provider Identifier
1225159353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 70015188
- Practice address
- 830 S Addison Ave
Villa Park, IL 60181-2877 - Phone
- (630) 620-4433
- Fax
- (630) 620-1148
- NPI assigned
- Apr 3, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 70015188 | IL | Primary |
Addresses
Primary practice location
830 S Addison Ave
Villa Park, IL 60181-2877
Mailing address
0N659 Bowdish Dr
Geneva, IL 60134-3560
Phone (312) 810-0603
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 |
|---|---|---|---|
| 70015188 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295740800000",
"number": "1225159353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "0N659 BOWDISH DR",
"city": "GENEVA",
"state": "IL",
"postal_code": "601343560",
"telephone_number": "312-810-0603",
"fax_number": "630-345-4019"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 S ADDISON AVE",
"city": "VILLA PARK",
"state": "IL",
"postal_code": "601812877",
"telephone_number": "630-620-4433",
"fax_number": "630-620-1148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLTERING",
"first_name": "KATHERINE",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-03",
"last_updated": "2011-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "70015188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Villa Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.