Individual provider Active NPI

Katherine Louise Tucker, PT

  • Physical Therapist
  • Naperville, IL
National Provider Identifier
1225269814
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070014941 Issued in IL
Practice address
5S530 Scots Dr
Apartment 18F
Naperville, IL 60563-9000
Phone
(630) 470-9050
NPI assigned
Jul 31, 2009
Last updated
May 1, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070014941 IL Primary

Addresses

Primary practice location

5S530 Scots Dr
Apartment 18F
Naperville, IL 60563-9000

Mailing address

5S530 Scots Dr
Apartment 18F
Naperville, IL 60563-9000
Phone (630) 470-9050

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1225269814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5S530 SCOTS DR",
            "address_2": "APARTMENT 18F",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605639000",
            "telephone_number": "630-470-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5S530 SCOTS DR",
            "address_2": "APARTMENT 18F",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605639000",
            "telephone_number": "630-470-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "KATHERINE",
        "middle_name": "LOUISE",
        "name_prefix": "Dr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-31",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070014941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; 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.