Active NPI
Mary Kay Cattaneo, PT
- Physical Therapist
- Carbondale, IL
National Provider Identifier
1497089577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070009719
- Practice address
- 2250 Reed Station Pkwy, Ste. 305
Carbondale, IL 62901 - Phone
- (618) 529-1943
- Fax
- (618) 549-2975
- NPI assigned
- Sep 23, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070009719 | IL | Primary |
Addresses
Primary practice location
2250 Reed Station Pkwy, Ste. 305
Carbondale, IL 62901
Mailing address
2250 Reed Station Pkwy, Ste. 305
Carbondale, IL 62901
Phone (618) 529-1943
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00900438 | Other | IL | RR MC |
| A03331 | Other | HL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ultimate Therapeutic Solutions, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Physical Therapy Clinic/Center
- Christopher, IL
- NPI 1174715650
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310947200000",
"number": "1497089577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2250 REED STATION PKWY, STE. 305",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "62901",
"telephone_number": "618-529-1943",
"fax_number": "618-549-2975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 REED STATION PKWY, STE. 305",
"city": "CARBONDALE",
"state": "IL",
"postal_code": "62901",
"telephone_number": "618-529-1943",
"fax_number": "618-549-2975"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CATTANEO",
"first_name": "MARY",
"middle_name": "KAY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-23",
"last_updated": "2011-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070009719",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MC",
"identifier": "P00900438",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HL",
"identifier": "A03331",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Carbondale, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.