Individual provider Active NPI

Kathryn Marie Ehmann, DPT

  • Physical Therapist
  • Homer Glen, IL
National Provider Identifier
1679941678
Registry record updated Jun 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
070021737 Issued in IL
Practice address
14301 S Golden Oak Dr
Homer Glen, IL 60491
Phone
(708) 645-7700
NPI assigned
Sep 8, 2015
Last updated
Jun 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 070021737 IL Primary

Addresses

Primary practice location

14301 S Golden Oak Dr
Homer Glen, IL 60491

Mailing address

14301 S Golden Oak Dr
Homer Glen, IL 60491-9696
Phone (708) 645-7700

Other identifiers 1

IdentifierTypeStateIssuer
202421OtherILMEDICARE ID-TYPE UNSPECIFIED

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150923000694 IL Practitioner - Physical Therapist in Private Practice 6901113919 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
Advanced Physicians, S.C.Group PAC ID 6103879713, 11 clinicians

Practice addresses (Care Compare)

14330 S Will Cook Rd
Homer Glen, IL 60491-9211
Phone (708) 645-0288

3360 La Crosse LN
Suite 110
Naperville, IL 60564-8165
Phone (630) 922-1700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070021737ILMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physicians, S.C. CurrentSince Aug 14, 2024 Accepting new patients

Locations

3052 Weber Dr
Aurora, IL 60502
Phone (630) 898-9700

16101 Weber Rd
Crest Hill, IL 60403
Phone (815) 306-1100

14330 S Will Cook Rd
Homer Glen, IL 60491
Phone (708) 645-0288

7632 Plaza Ct
Willowbrook, IL 60527
Phone (630) 789-3338

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": "1441670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528934400000",
    "number": "1679941678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14301 S GOLDEN OAK DR",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "604919696",
            "telephone_number": "708-645-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14301 S GOLDEN OAK DR",
            "city": "HOMER GLEN",
            "state": "IL",
            "postal_code": "60491",
            "telephone_number": "708-645-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHMANN",
        "first_name": "KATHRYN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-08",
        "last_updated": "2018-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070021737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED",
            "identifier": "202421",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Homer Glen, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; 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.