Active NPI
Katherine Marie Kuebel, P.T.
- Specialist
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 070-014323
- Practice address
- 2820 W Armitage Ave Ste 7
Chicago, IL 60647-6318 - Phone
- (773) 394-0796
- Fax
- (773) 394-3342
- NPI assigned
- Jul 19, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 070-014323 | IL | Primary |
Addresses
Primary practice location
2820 W Armitage Ave Ste 7
Chicago, IL 60647-6318
Mailing address
625 Enterprise Dr
Oak Brook, IL 60523-8813
Phone (630) 575-6250
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200573902 | Other | IL | TAX IDENTIFICATION NO. |
| 363396874 | Other | IL | TAX IDENTIFICATION NO. |
| 1618443 | Other | IL | BCBS GROUP NO. |
| 01634372 | Other | IL | BCBS GROUP NO. |
| 236963283001 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2820 W Armitage Ave
Suite 1
Chicago, IL 60647-6318
Phone (773) 394-0796
407 N Lagrange Rd
Lagrange Park, IL 60526-5623
Phone (708) 482-9320
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.32 of 100
- Quality
- 84.44
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 70.78
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070-014323 | IL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Athletico LTD | Current | Accepting new patients | |
| Athletico LTD | Current | Accepting new patients | |
| Peak Therapeutics, LTD | Specialist | Past | Accepting new patients |
| Consultants in Neurology, LTD | Past | Accepting new patients |
Locations
6502 Joliet Rd
Ste B
Countryside, IL 60525
Phone (708) 352-0547
1294 S US Highway 12
Fox Lake, IL 60020
Phone (847) 973-9440
280 N Randall Rd
Lake in the Hills, IL 60156
Phone (847) 854-8219
300 S State St
Marengo, IL 60152
Phone (815) 568-4550
8337 W Lawrence Ave
Norridge, IL 60706
Phone (708) 583-9000
625 Enterprise Dr
Oak Brook, IL 60523
Phone (630) 575-6250
722 N McLean Blvd
South Elgin, IL 60177
Phone (847) 695-5088
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 and National Provider Directory roles.
-
- Neurology Physician
- Northbrook, IL
- NPI 1831183920
-
dba Peak and Balance Centers of America
- Specialist
- Wilmette, IL
- NPI 1558390849
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1568481372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 ENTERPRISE DR",
"city": "OAK BROOK",
"state": "IL",
"postal_code": "605238813",
"telephone_number": "630-575-6250",
"fax_number": "630-575-7450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2820 W ARMITAGE AVE STE 7",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606476318",
"telephone_number": "773-394-0796",
"fax_number": "773-394-3342"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUEBEL",
"first_name": "KATHERINE",
"middle_name": "MARIE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "070-014323",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION NO.",
"identifier": "200573902",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX IDENTIFICATION NO.",
"identifier": "363396874",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NO.",
"identifier": "1618443",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS GROUP NO.",
"identifier": "01634372",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "236963283001",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.