Active NPI
Kathy C Schaefer, L.P.T.
- Physical Therapist
- Bunker Hill, IL
National Provider Identifier
1689847451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070003796
- Practice address
- 128 North Washington
Bunker Hill, IL 62014 - Phone
- (618) 585-4761
- Fax
- (618) 585-3523
- NPI assigned
- Apr 11, 2008
- Sex
- Female
- 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 Therapist | 225100000X | 070003796 | IL | Primary |
Addresses
Primary practice location
128 North Washington
Bunker Hill, IL 62014
Mailing address
PO Box 326
Bunker Hill, IL 62014-0326
Phone (618) 585-4761
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 910882 | Other | IL | HEALTHLINK |
| 5932026 | Other | IL | BLUE CROSS BLUE SHIELD OF ILLINOIS |
| 9465114 | Other | IL | AETNA |
| 2602740 | Other | IL | UNITED HEALTHCARE |
| 708779 | Other | IL | ACN |
Other names 1
- Kathy C Schaefer
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222041600000",
"number": "1689847451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 326",
"city": "BUNKER HILL",
"state": "IL",
"postal_code": "620140326",
"telephone_number": "618-585-4761",
"fax_number": "618-585-3523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 NORTH WASHINGTON",
"city": "BUNKER HILL",
"state": "IL",
"postal_code": "62014",
"telephone_number": "618-585-4761",
"fax_number": "618-585-3523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHAEFER",
"first_name": "KATHY",
"middle_name": "C",
"credential": "L.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-11",
"last_updated": "2008-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070003796",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "910882",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD OF ILLINOIS",
"identifier": "5932026",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9465114",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2602740",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN",
"identifier": "708779",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHY",
"last_name": "SCHAEFER",
"middle_name": "C",
"credential": "P.T.A.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bunker Hill, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.