Individual provider Active NPI

Caitlin Hennig, P.T.

  • Physical Therapist
  • Evanston, IL
National Provider Identifier
1609299114
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070-019253 Issued in IL
Practice address
1815 Norwood CT
Evanston, IL 60201-1841
Phone
(847) 960-5555
NPI assigned
Feb 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTL.0011952 CO
Physical Therapist 225100000X 070-019253 IL Primary

Addresses

Primary practice location

1815 Norwood CT
Evanston, IL 60201-1841

Mailing address

1815 Norwood CT
Evanston, IL 60201-1841

Other practice location 1

2143 W Division St
Chicago, IL 60622-3006
Phone (773) 489-0347

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141008002248 IL Practitioner - Physical Therapist in Private Practice 9537389804 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PF Physical Therapy LLCGroup PAC ID 7012355993, 4 clinicians

Practice addresses (Care Compare)

851 N California Ave
Chicago, IL 60622-4401
Phone (773) 904-7477

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTL.0011952COMDPhysical Therapist
070-019253ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PF Physical Therapy LLC Physical Therapist CurrentSince Mar 6, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1609299114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 NORWOOD CT",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 NORWOOD CT",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011841",
            "telephone_number": "847-960-5555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2143 W Division St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606223006",
            "country_code": "US",
            "telephone_number": "773-489-0347",
            "fax_number": "773-489-0386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENNIG",
        "first_name": "CAITLIN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-04",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "PTL.0011952",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-019253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.

Verify at the official NPI Registry.