Individual provider Active NPI

Elizabeth Jennifer Casaletto, PTA

  • Physical Therapy Assistant
  • Westmont, IL
National Provider Identifier
1306503180
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
160009468 Issued in IL
Practice address
801 N Cass Ave Ste 100
Westmont, IL 60559-1173
Phone
(630) 967-2000
NPI assigned
Nov 29, 2021
Last updated
Nov 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 160009468 IL Primary

Addresses

Primary practice location

801 N Cass Ave Ste 100
Westmont, IL 60559-1173

Mailing address

23 Kensington Cir Apt 108
Wheaton, IL 60189-2945
Phone (630) 815-8672

Other practice location 1

536 S York St Ste 101
Elmhurst, IL 60126-3952
Phone (630) 967-2000

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

LicenseStateTypeSpecialty
160009468ILMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dupage Medical Group LTD CurrentSince Dec 5, 2021 Accepting new patients
Dupage Medical Group LTD PastSince Dec 5, 2021 Accepting new patients

Locations

801 N Cass Ave
Ste 100
Westmont, IL 60559
Phone (630) 456-7455

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1306503180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 KENSINGTON CIR APT 108",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601892945",
            "telephone_number": "630-815-8672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N CASS AVE STE 100",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591173",
            "telephone_number": "630-967-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "536 S York St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "IL",
            "postal_code": "601263952",
            "country_code": "US",
            "telephone_number": "630-967-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CASALETTO",
        "first_name": "ELIZABETH",
        "middle_name": "JENNIFER",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160009468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westmont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.