Individual provider Active NPI

Payton D. Kaska

  • Speech-Language Pathologist
  • Crystal Lake, IL
National Provider Identifier
1588233993
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
242.006326 Issued in IL
Practice address
820 E Terra Cotta Ave Ste 244
Crystal Lake, IL 60014-3655
Phone
(815) 354-8200
NPI assigned
Jun 21, 2021
Last updated
Sep 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 242.006326 IL Primary

Addresses

Primary practice location

820 E Terra Cotta Ave Ste 244
Crystal Lake, IL 60014-3655

Mailing address

699 Blackthorn Dr
Crystal Lake, IL 60014-4567
Phone (870) 347-6755

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
242.006326ILMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hillmann Pediatric Therapy PastSince Jun 1, 2021 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, 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": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1588233993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "699 BLACKTHORN DR",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600144567",
            "telephone_number": "870-347-6755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 E TERRA COTTA AVE STE 244",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143655",
            "telephone_number": "815-354-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASKA",
        "first_name": "PAYTON",
        "middle_name": "D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "IL",
            "license": "242.006326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 10, 2025; 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.