Active NPI
Liam Richard Kastner
- Physical Therapy Assistant
- Great Lakes, IL
National Provider Identifier
1689468514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A7550
- Practice address
- 1007 Uss Tranquility
3410 Illinos St
Great Lakes, IL 60088 - Phone
- (224) 610-8553
- NPI assigned
- Apr 7, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A7550 | NC | Primary |
Addresses
Primary practice location
1007 Uss Tranquility
3410 Illinos St
Great Lakes, IL 60088
Mailing address
1007 Uss Tranquility
3410 Illinos St
Great Lakes, IL 60088
Phone (224) 610-8553
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
| License | State | Type | Specialty |
|---|---|---|---|
| A7550 | NC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762128000000",
"number": "1689468514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1007 USS TRANQUILITY",
"address_2": "3410 ILLINOS ST",
"city": "GREAT LAKES",
"state": "IL",
"postal_code": "60088",
"telephone_number": "224-610-8553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 USS TRANQUILITY",
"address_2": "3410 ILLINOS ST",
"city": "GREAT LAKES",
"state": "IL",
"postal_code": "60088",
"telephone_number": "224-610-8553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASTNER",
"first_name": "LIAM",
"middle_name": "RICHARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-04-07",
"last_updated": "2025-11-03",
"certification_date": "2025-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "A7550",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Great Lakes, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.