Active NPI
Katherine Marie Roche, PT
- Physical Therapist
- Skokie, IL
National Provider Identifier
1699832907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 8833 Gross Point Rd
Suite 308
Skokie, IL 60077-1859 - Phone
- (847) 674-2630
- Fax
- (847) 674-4042
- NPI assigned
- Jan 3, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | IL | Primary |
Addresses
Primary practice location
8833 Gross Point Rd
Suite 308
Skokie, IL 60077-1859
Mailing address
3053 N Clifton Ave
Apt 1
Chicago, IL 60657-4333
Phone (773) 327-7665
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 |
|---|---|---|---|
| 070-012244 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1699832907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3053 N CLIFTON AVE",
"address_2": "APT 1",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606574333",
"telephone_number": "773-327-7665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8833 GROSS POINT RD",
"address_2": "SUITE 308",
"city": "SKOKIE",
"state": "IL",
"postal_code": "600771859",
"telephone_number": "847-674-2630",
"fax_number": "847-674-4042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCHE",
"first_name": "KATHERINE",
"middle_name": "MARIE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Skokie, IL
- Sarah Margaret Roberts, OTR/L
- Patrick Robilotto, PA-C
- Robin'S Key Speech, Language, and Learning, PLLC
- Peter Roccaforte, PH.D.
- Florence Amirdham Roche, DO
- Jay Rodgers, DDS
- Valari Tamara Rodriguez, NP-C
- Meghan Lyn Roekle, PSYD
- Patricia Louise Rogel, CO, LO, OTR/L
- Rogers Behavioral Health - Illinois Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.