Individual provider Active NPI

Natay Lin Wilfinger

  • Speech-Language Pathologist
  • Crystal Lake, IL
National Provider Identifier
1720620388
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
407 E Terra Cotta Ave
Crystal Lake, IL 60014-3602
Phone
(847) 766-0011
NPI assigned
Oct 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

407 E Terra Cotta Ave
Crystal Lake, IL 60014-3602

Mailing address

407 E Terra Cotta Ave
Crystal Lake, IL 60014-3602
Phone (847) 766-0011

Other practice location 1

801 Sunset Dr
Round Lake, IL 60073-2827
Phone (847) 270-9000

Other practice location 2

500 N Cedar Lake Rd
Round Lake, IL 60073-2804
Phone (847) 270-9060 ext. 3343

Other practice location 3

800 High School Dr
Round Lake, IL 60073-2951
Phone (847) 270-9300 ext. 5220

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220902002541 IL Practitioner - Qualified Speech Language Pathologist 2961886379 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Speech Language Pathologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Empower Advanced TherapyGroup PAC ID 1052774460, 7 clinicians

Practice addresses (Care Compare)

700 E Oak Street
Suite 206
Lake in the Hills, IL 60156-6176
Phone (847) 766-0011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Empower Advanced Therapy CurrentSince Jan 1, 2024 Accepting new patients
Given Sports & Physical Therapy, P.C. PastSince Mar 23, 2015 Accepting new patients

Locations

407 E Terra Cotta Ave
Ste E
Crystal Lake, IL 60014
Phone (815) 477-8004

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1720620388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 E TERRA COTTA AVE",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143602",
            "telephone_number": "847-766-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 E TERRA COTTA AVE",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600143602",
            "telephone_number": "847-766-0011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Sunset Dr",
            "address_purpose": "LOCATION",
            "city": "Round Lake",
            "state": "IL",
            "postal_code": "600732827",
            "country_code": "US",
            "telephone_number": "847-270-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 N Cedar Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Round Lake",
            "state": "IL",
            "postal_code": "600732804",
            "country_code": "US",
            "telephone_number": "847-270-9060 x3343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 High School Dr",
            "address_purpose": "LOCATION",
            "city": "Round Lake",
            "state": "IL",
            "postal_code": "600732951",
            "country_code": "US",
            "telephone_number": "847-270-9300 x5220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILFINGER",
        "first_name": "NATAY",
        "middle_name": "LIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.