Individual provider Active NPI

Katie Jo Schoenholz, P,T, ATC

  • Specialist
  • Frankfort, IL
National Provider Identifier
1417243585
Registry record updated Jun 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
070.016685 Issued in IL
Practice address
8137 W Rosebury Dr
Frankfort, IL 60423-2402
Phone
(504) 554-1696
NPI assigned
Jun 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 070.016685 IL Primary

Addresses

Primary practice location

8137 W Rosebury Dr
Frankfort, IL 60423-2402

Mailing address

19 W Division St
Manteno, IL 60950-1533
Phone (504) 554-1696

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111117000737 IL Practitioner - Physical Therapist in Private Practice 3779757232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1975 Lin Lor LN
Elgin, IL 60123-4902
Phone (847) 468-1400

2525 Kaneville Rd
Geneva, IL 60134-2578
Phone (847) 468-1400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.016685ILMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Valley Orthopaedic Associates, PLLC CurrentSince Apr 5, 2025 Accepting new patients
Fox Valley Orthopaedic Associates, PLLC Current Accepting new patients
Fox Valley Orthopaedic Associates, S.C. CurrentSince Apr 5, 2025 Accepting new patients
Lincoln-Way Physical Therapy, LLC Specialist Past Accepting new patients
Humpal Physical Therapy, P.C. PastSince Dec 11, 2013 Accepting new patients

Locations

2525 Kaneville Rd
Geneva, IL 60134
Phone (630) 584-1400

Interoperability endpoints

  • Direct secure messaging: katie.schoenholz.1@26750.direct.athenahealth.com

Organizations & group practices 5

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": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309219200000",
    "number": "1417243585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 W DIVISION ST",
            "city": "MANTENO",
            "state": "IL",
            "postal_code": "609501533",
            "telephone_number": "504-554-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8137 W ROSEBURY DR",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604232402",
            "telephone_number": "504-554-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOENHOLZ",
        "first_name": "KATIE",
        "middle_name": "JO",
        "credential": "P,T, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-27",
        "last_updated": "2011-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "070.016685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

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