Individual provider Active NPI

Katelyn Kanturek, PT, DPT

  • Physical Therapist
  • Elmhurst, IL
National Provider Identifier
1518639764
Registry record updated Oct 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.026153 Issued in IL
Practice address
533 S Division St Ste B
Elmhurst, IL 60126-3982
Phone
(331) 215-4164
Fax
(331) 904-7417
NPI assigned
Oct 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 070.026153 IL
Physical Therapist 225100000X 070.026153 IL Primary

Addresses

Primary practice location

533 S Division St Ste B
Elmhurst, IL 60126-3982

Mailing address

533 S Division St Ste B
Elmhurst, IL 60126-3982
Phone (331) 215-4164

Other practice location 1

2835 N Sheffield Ave Ste 411
Chicago, IL 60657-5084
Phone (331) 215-4164

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL vitalitywomenspt.com

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
070.026153ILMDOrthopedic Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1518639764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 S DIVISION ST STE B",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263982",
            "telephone_number": "331-215-4164",
            "fax_number": "331-904-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "533 S DIVISION ST STE B",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263982",
            "telephone_number": "331-215-4164",
            "fax_number": "331-904-7417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2835 N Sheffield Ave Ste 411",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606575084",
            "country_code": "US",
            "telephone_number": "331-215-4164",
            "fax_number": "331-979-9295",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KANTUREK",
        "first_name": "KATELYN",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "IL",
            "license": "070.026153",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.026153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "vitalitywomenspt.com",
            "affiliation": "N",
            "address_1": "533 S Division St",
            "city": "Elmhurst",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601263981",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.