Ingrid Kristine Taylor, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070.026080 Issued in IL

Practice address

16618 W 159TH St Ste 402
Lockport, IL 60441-8011

Phone

(815) 838-0529

NPI assigned

Aug 18, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ingrid Kristine Lee Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Hand and Orthopaedic Surgery Center Inc

  • Specialist
  • Oakbrook Terrace, IL
  • NPI 1881902583
  NPD (past)

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1730855909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5134 S INGLESIDE AVE APT B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606153853",
            "telephone_number": "612-875-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16618 W 159TH ST STE 402",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604418011",
            "telephone_number": "815-838-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "INGRID",
        "middle_name": "KRISTINE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070.026080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INGRID",
            "last_name": "LEE",
            "middle_name": "KRISTINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sara Kristen Sutter, MS, CCC-SLP/L
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• Taft School District #90
• Tammy Giannetta DDS
• Ernesto Tan, MD
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• Manali V. Thakore, MS BCBA
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• The Practice Counseling & Wellness
• Theracore, Inc.

• Physical Therapist in Lockport, IL
• Providers in Lockport, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.