Individual provider Active NPI

Katelyn Halbig, OT

  • Occupational Therapist
  • Crown Point, IN
National Provider Identifier
1407599186
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
31007655A Issued in IN
Practice address
300 E 109TH Ave Ste B
Crown Point, IN 46307-8693
Phone
(219) 662-2400
NPI assigned
Apr 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 31007655A IN Primary

Addresses

Primary practice location

300 E 109TH Ave Ste B
Crown Point, IN 46307-8693

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (803) 812-3656

Other practice location 1

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (317) 962-2000

Other names 1

  • Katelyn Kamminga Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230707001649 IN Practitioner - Occupational Therapist in Private Practice 1052770146 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Athletico LTDGroup PAC ID 4789602681, 2,187 clinicians

Practice addresses (Care Compare)

300 E 109TH Ave
Suite B
Crown Point, IN 46307-8693
Phone (219) 662-2400

Merit-based Incentive Payment System (MIPS)

Final score
86.32 of 100Reported as group
Quality
84.44
Promoting interoperability
99
Improvement activities
40
Cost
70.78

Merit-based Incentive Payment System (MIPS)

Final score
86.49 of 100Reported as group
Quality
90
Improvement activities
40
Cost
73.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Athletico LTD Occupational Therapist CurrentSince Mar 11, 2024 Accepting new patients
Advanced Physical Therapy, LLC Occupational Therapist CurrentSince Aug 26, 2023 Accepting new patients
Bone & Joint Specialists, PC Occupational Therapist CurrentSince Jun 3, 2023 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC Current Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Aug 26, 2023 Accepting new patients
Athletico LTD Current Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Aug 26, 2023 Accepting new patients
Advanced Physical Therapy, LLC Occupational Therapist CurrentSince Aug 26, 2023 Accepting new patients
Athletico, LTD Occupational Therapist CurrentSince Mar 11, 2024 Accepting new patients

Locations

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

300 E 109th Ave
Ste B
Crown Point, IN 46307
Phone (219) 662-2400

1738 165th St
Ste A
Hammond, IN 46320
Phone (219) 844-1782

2213 Main St
Highland, IN 46322
Phone (219) 795-3360

5949 W Raymond St
Indianapolis, IN 46241
Phone (317) 247-1579

9001 Broadway
Merrillville, IN 46410
Phone (219) 795-3360

8455 Broadway
Merrillville, IN 46410
Phone (219) 769-7211

1505 US Highway 41
Ste A20
Schererville, IN 46375
Phone (219) 322-5560

71 Silhavy Rd
Ste 121
Valparaiso, IN 46383
Phone (219) 462-0576

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1650326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1407599186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "803-812-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E 109TH AVE STE B",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078693",
            "telephone_number": "219-662-2400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1701 N Senate Blvd",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462021239",
            "country_code": "US",
            "telephone_number": "317-962-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALBIG",
        "first_name": "KATELYN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-19",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31007655A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "KAMMINGA",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Crown Point, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.