Individual provider Active NPI

Kaitlyn Elizabeth Bobbitt, DPT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1619600012
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070.026602 Issued in IL
Practice address
225 S Sangamon St Ste 1
Chicago, IL 60607-5167
Phone
(312) 243-9350
NPI assigned
Jul 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 070.026602 IL Primary

Addresses

Primary practice location

225 S Sangamon St Ste 1
Chicago, IL 60607-5167

Mailing address

1749 N Wells St Apt 1802
Chicago, IL 60614-5828

Other practice location 1

333 E Benton Pl Ste 108
Chicago, IL 60601-7411
Phone (312) 929-3646

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220823002215 IL Practitioner - Physical Therapist in Private Practice 0547643637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
React Physical Therapy LLCGroup PAC ID 0143303982, 12 clinicians

Practice addresses (Care Compare)

710 Robert York Ave
Deerfield, IL 60015-4343
Phone (312) 720-6784

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070.026602ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
React Physical Therapy LLC Single Specialty CurrentSince Jun 27, 2022 Accepting new patients

Locations

333 E Benton Pl
Ste 108
Chicago, IL 60601
Phone (312) 929-3646

225 S Sangamon St
Ste 1
Chicago, IL 60607
Phone (312) 243-9350

1520 N Dayton St
Chicago, IL 60642
Phone (312) 380-1822

710 Robert York Ave
Deerfield, IL 60015
Phone (312) 720-6784

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": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1619600012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1749 N WELLS ST APT 1802",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S SANGAMON ST STE 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606075167",
            "telephone_number": "312-243-9350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 E Benton Pl Ste 108",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606017411",
            "country_code": "US",
            "telephone_number": "312-929-3646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOBBITT",
        "first_name": "KAITLYN",
        "middle_name": "ELIZABETH",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.026602",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 5, 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.