Individual provider Active NPI

Kathryn Ellen Swenson, DPT

  • Physical Therapist
  • Chicago, IL
National Provider Identifier
1669851283
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070022691 Issued in IL
Practice address
4323 W Irving Park Rd Ste 1a
Chicago, IL 60641-2828
Phone
(773) 930-3087
NPI assigned
May 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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 3451 NE
Physical Therapist 225100000X 070022691 IL Primary

Addresses

Primary practice location

4323 W Irving Park Rd Ste 1a
Chicago, IL 60641-2828

Mailing address

4323 W Irving Park Rd Ste 1a
Chicago, IL 60641-2828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170504000019 IL Practitioner - Physical Therapist in Private Practice 7810209970 Reassigns benefits to 3 organizations
I20170620000849 IN Practitioner - Physical Therapist in Private Practice 7810209970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physio Chicago PLLCGroup PAC ID 3072966696, 5 clinicians

Practice addresses (Care Compare)

4323 W Irving Park Rd
Suite 1a
Chicago, IL 60641-2828
Phone (773) 930-3087

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070022691ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physio Chicago PLLC Physical Therapist CurrentSince Oct 27, 2022 Accepting new patients
Orthomidwest, PLLC CurrentSince Jul 1, 2022 Accepting new patients
Orthomidwest, PLLC CurrentSince Jul 1, 2022 Accepting new patients
Orthomidwest, PLLC Physical Therapist CurrentSince Jul 1, 2022 Accepting new patients

Locations

770 Beloit Rd
Belvidere, IL 61008
Phone (815) 847-7060

1611 W Harrison St
#400
Chicago, IL 60612
Phone (312) 243-4244

4323 W Irving Park Rd
Ste 1A
Chicago, IL 60641
Phone (773) 726-9880

1611 W Harrison St
Ste 300
Chicago, IL 60612
Phone (312) 432-2300

1611 W Harrison St
Ste 400
Chicago, IL 60612
Phone (312) 243-4244

1611 W Harrison St
Ste 107
Chicago, IL 60612
Phone (312) 432-2513

2011 York Rd
Ste 3000
Oak Brook, IL 60523
Phone (414) 732-2577

2450 Wolf Rd
Ste F
Westchester, IL 60154
Phone (708) 236-2750

9200 Calumet Ave
Ste N500
Munster, IN 46321
Phone (219) 513-9955

9601 Calumet Ave
Munster, IN 46321
Phone (312) 432-2591

9200 Calumet Ave
Ste 100
Munster, IN 46321
Phone (219) 595-0789

9200 Calumet Ave
#300
Munster, IN 46321

Organizations & group practices 5

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": "1432771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1669851283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4323 W IRVING PARK RD STE 1A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 W IRVING PARK RD STE 1A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606412828",
            "telephone_number": "773-930-3087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWENSON",
        "first_name": "KATHRYN",
        "middle_name": "ELLEN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-28",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3451",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070022691",
            "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 Dec 18, 2023; 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.