Individual provider Active NPI

Kathryn E. Caviolo, PT

  • Physical Therapist
  • Morton Grove, IL
National Provider Identifier
1447410832
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
9000 Waukegan Rd
Suite 100
Morton Grove, IL 60053-2127
Phone
(847) 779-6050
NPI assigned
Jun 10, 2008
Last updated
Jan 31, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2012

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 NU Primary

Addresses

Primary practice location

9000 Waukegan Rd
Suite 100
Morton Grove, IL 60053-2127

Mailing address

8930 Waukegan Rd
Suite 200
Morton Grove, IL 60053-2126
Phone (847) 324-3091

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171110002640 MI Practitioner - Physical Therapist in Private Practice 1456428192 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthquest Physical Therapy and Wellness Center LLCGroup PAC ID 5698847044, 16 clinicians

Practice addresses (Care Compare)

1469 N Rochester Rd
Healthquest North Rochester
Rochester Hills, MI 48307-1122
Phone (248) 289-5447

2226 Crooks Rd
Rochester Hills, MI 48309-3600
Phone (248) 289-3584

Merit-based Incentive Payment System (MIPS)

Final score
66.87 of 100Reported as group
Quality
63.22
Improvement activities
40
Cost
56.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Luna Care Physical Therapy, LLC Physical Therapist CurrentSince Apr 1, 2020 Accepting new patients
Healthquest Physical Therapy and Wellness Center LLC Physical Therapist CurrentSince Nov 2, 2017 Accepting new patients

Locations

1773 Star Batt Dr
Rochester Hills, MI 48309
Phone (248) 650-4720

2226 Crooks Rd
Rochester Hills, MI 48309
Phone (248) 289-3584

878 S Rochester Rd
Rochester Hills, MI 48307
Phone (248) 650-4404

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": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327968000000",
    "number": "1447410832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8930 WAUKEGAN RD",
            "address_2": "SUITE 200",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532126",
            "telephone_number": "847-324-3091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9000 WAUKEGAN RD",
            "address_2": "SUITE 100",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532127",
            "telephone_number": "847-779-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVIOLO",
        "first_name": "KATHRYN",
        "middle_name": "E.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2012-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morton Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; 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.