Caroline Dykstra, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070024020 Issued in IL

Practice address

1156 W Lake Cook Rd
Buffalo Grove, IL 60089

Phone

(847) 520-7264

Fax

(847) 520-7290

NPI assigned

Dec 6, 2016

Last updated

Oct 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Androscoggin Home Health Services IncGroup PAC ID 2668467614, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Androscoggin Home Health Services, Inc

  dba Andwell Health Partners

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Lewiston, ME
  • NPI 1013957687
  Medicare reassignment Care Compare group NPD
• Androscoggin Home Health Services, Inc.

  dba Andwell Health Partners

  • Occupational Therapist
  • Lewiston, ME
  • NPI 1518573666

  Physical Therapist

  NPD
• Androscoggin Home Health Services, Inc.

  dba Andwell Health Partners

  • Developmental Therapist
  • Lewiston, ME
  • NPI 1962646844

  Physical Therapist

  NPD
• Lawrence General Hospital

  dba LGH Vaccination Clinic

  • Allergy & Immunology Physician
  • Lawrence, MA
  • NPI 1881272102
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1480982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539734400000",
    "number": "1710421045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 OAKMONT LN STE 600C",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595548",
            "telephone_number": "630-575-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1156 W LAKE COOK RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "60089",
            "telephone_number": "847-520-7264",
            "fax_number": "847-520-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DYKSTRA",
        "first_name": "CAROLINE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-06",
        "last_updated": "2018-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "22727",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070024020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DRS Papworth Vargas & Associatesltd,PC
• Michael Dubin
• Jason Dudek, PHARMD
• Margaret E Dunne, LCPC
• Jessica Durrance
• Adrianna Sulimowicz Dzierzanowski, M.S. CCC-SLP
• Eduard Kalika DN LTD
• Roy James Eiermann, LCPC
• Lauren Eisenberg, DPT
• Michael J Eisenberg, M.D.

• Physical Therapist in Buffalo Grove, IL
• Providers in Buffalo Grove, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.