Individual provider Active NPI

Catherine E Stegemann, PT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1407031123
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070009793 Issued in IL
Practice address
1611 W Harrison St
Suite 107
Chicago, IL 60612-4861
Phone
(312) 432-2513
Fax
(312) 563-3640
NPI assigned
Dec 31, 2007
Last updated
Dec 28, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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 070009793 IL Primary

Addresses

Primary practice location

1611 W Harrison St
Suite 107
Chicago, IL 60612-4861

Mailing address

1611 W Harrison St
Suite 107
Chicago, IL 60612-4861
Phone (312) 432-2513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081119000739 IL Practitioner - Physical Therapist in Private Practice 4880754910 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Centre Physical Therapy Riverside LLCGroup PAC ID 6901203074, 5 clinicians
Centre Physical TherapyGroup PAC ID 8921359357, 8 clinicians
Centre Physical Therapy Lincoln Park LLCGroup PAC ID 6406242460, 5 clinicians

Practice addresses (Care Compare)

1 Riverside Rd
Suite 107
Riverside, IL 60546-2276
Phone (708) 210-9800

207 Harrison St
Oak Park, IL 60304-1533
Phone (312) 391-8752

2116 N Halsted St
Chicago, IL 60614-4316
Phone (708) 210-9800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Centre Physical Therapy Physical Therapist CurrentSince Jul 15, 2018 Accepting new patients
Centre Physical Therapy Riverside LLC Physical Therapist CurrentSince Jun 4, 2021 Accepting new patients
Centre Physical Therapy Lincoln Park LLC Physical Therapist CurrentSince Jan 7, 2022 Accepting new patients

Locations

2116 N Halsted St
Chicago, IL 60614
Phone (708) 210-9800

207 Harrison St
Oak Park, IL 60304
Phone (312) 391-8752

1 Riverside Rd
Ste 107
Riverside, IL 60546
Phone (708) 210-9800

Organizations & group practices 3

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": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325030400000",
    "number": "1407031123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 W HARRISON ST",
            "address_2": "SUITE 107",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124861",
            "telephone_number": "312-432-2513",
            "fax_number": "312-563-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 W HARRISON ST",
            "address_2": "SUITE 107",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606124861",
            "telephone_number": "312-432-2513",
            "fax_number": "312-563-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEGEMANN",
        "first_name": "CATHERINE",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-31",
        "last_updated": "2011-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070009793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.