Individual provider Active NPI

Emily M. Craigen, DPT

  • Physical Therapist
  • Crystal Lake, IL
National Provider Identifier
1467633636
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070016104 Issued in IL
Practice address
530 Rockland Rd
Suite 500
Crystal Lake, IL 60014-4131
Phone
(815) 893-8480
Fax
(815) 893-8481
NPI assigned
Nov 16, 2007
Last updated
Mar 10, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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 070016104 IL Primary

Addresses

Primary practice location

530 Rockland Rd
Suite 500
Crystal Lake, IL 60014-4131

Mailing address

530 Rockland Rd
Ste 500
Crystal Lake, IL 60014-4137
Phone (815) 893-8480

Other identifiers 6

IdentifierTypeStateIssuer
K47411OtherILMEDICARE
P01060236OtherILRAILROAD MEDICARE
K47410OtherILMEDICARE
IL6237012OtherILMEDICARE
IL6238012OtherILMEDICARE
IL6697014OtherILMEDICARE

Other names 1

  • Emily M. Huls Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071231000086 IL Practitioner - Physical Therapist in Private Practice 5193805315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crystal Lake Physical Therapy IncGroup PAC ID 1254636491, 5 clinicians

Practice addresses (Care Compare)

735 McArdle Dr
Suite a
Crystal Lake, IL 60014-1702
Phone (815) 893-8480

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Crystal Lake Physical Therapy Inc Physical Therapist CurrentSince Jan 2, 2016 Accepting new patients
Sports Physical Therapy & Rehabilitation Specialists S.C. Physical Therapist Past Accepting new patients
Sports Physical Therapy & Rehab Specialists, S.C. Physical Therapist Past Accepting new patients

Locations

530 Rockland Rd
Ste 500
Crystal Lake, IL 60014
Phone (815) 477-2013

735 McArdle Dr
Ste A
Crystal Lake, IL 60014
Phone (815) 477-2013

Organizations & group practices 4

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": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1467633636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 ROCKLAND RD",
            "address_2": "STE 500",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600144137",
            "telephone_number": "815-893-8480",
            "fax_number": "815-893-8481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 ROCKLAND RD",
            "address_2": "SUITE 500",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600144131",
            "telephone_number": "815-893-8480",
            "fax_number": "815-893-8481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIGEN",
        "first_name": "EMILY",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-16",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070016104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K47411",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01060236",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "K47410",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IL6237012",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IL6238012",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "IL6697014",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "HULS",
            "middle_name": "M.",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; 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.